Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria
The 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 acu...
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Sociedad Médica de Santiago
2012
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oai:scielo:S0034-988720120002000112013-04-11Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractariaRovegno,MaximilianoValenzuela,José LuisMellado,PatricioAndresen,Max Hematoma, subdural Hypothermia, Induced Intracranial Hypertension Intracranial Arteriovenous malformations The 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.2 20122012-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000200011es10.4067/S0034-98872012000200011 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Hematoma, subdural Hypothermia, Induced Intracranial Hypertension Intracranial Arteriovenous malformations |
spellingShingle |
Hematoma, subdural Hypothermia, Induced Intracranial Hypertension Intracranial Arteriovenous malformations Rovegno,Maximiliano Valenzuela,José Luis Mellado,Patricio Andresen,Max Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
description |
The 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. |
author |
Rovegno,Maximiliano Valenzuela,José Luis Mellado,Patricio Andresen,Max |
author_facet |
Rovegno,Maximiliano Valenzuela,José Luis Mellado,Patricio Andresen,Max |
author_sort |
Rovegno,Maximiliano |
title |
Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
title_short |
Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
title_full |
Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
title_fullStr |
Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
title_full_unstemmed |
Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
title_sort |
hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria |
publisher |
Sociedad Médica de Santiago |
publishDate |
2012 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000200011 |
work_keys_str_mv |
AT rovegnomaximiliano hipotermiaintravascularprolongadaenunpacienteconhipertensionendocraneanarefractaria AT valenzuelajoseluis hipotermiaintravascularprolongadaenunpacienteconhipertensionendocraneanarefractaria AT melladopatricio hipotermiaintravascularprolongadaenunpacienteconhipertensionendocraneanarefractaria AT andresenmax hipotermiaintravascularprolongadaenunpacienteconhipertensionendocraneanarefractaria |
_version_ |
1718436612377935872 |