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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Autores principales: Rovegno,Maximiliano, Valenzuela,José Luis, Mellado,Patricio, Andresen,Max
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2012
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000200011
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spelling 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
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