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Revista médica de Chile · Feb 2012
Case Reports[Prolonged hypothermia in refractory intracranial hypertension. Report of one case].
- Maximiliano Rovegno, José Luis Valenzuela, Patricio Mellado, and Max Andresen.
- Departamento de Medicina Intensiva, Hospital Clínico, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
- Rev Med Chil. 2012 Feb 1;140(2):219-24.
AbstractThe use of hypothermia after cardiac arrest caused by ventricular fibrillation is a standard clinical practice, however its use for neuroprotection has been extended to other conditions. We report a 23-year-old male with intracranial hypertension secondary to a parenchymal hematoma associated to acute hydrocephalus. An arterial malformation was found and embolized. Due to persistent intracranial hypertension, moderate hypothermia with a target temperature of 33°C was started. After 12 hours of hypothermia, intracranial pressure was controlled. After 13 days of hypothermia a definitive control of intracranial pressure was achieved. The patient was discharged 40 days after admission, remains with a mild hemiparesia and is reassuming his university studies.
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