Intravascular temperature modulation as an adjunct to secondary brain injury prevention in a patient with an epidural hematoma.
Epidural hematomas (EDHs) account for 10% of fatal injuries in patients with head trauma. Up to 35% of patients suffering EDHs develop secondary brain injury within days after the initial trauma. Secondary brain injury can profoundly affect a patient's subsequent neurologic recovery and functional status. This case study presents a patient who developed an EDH following severe head trauma with signs and symptoms of secondary brain injury; intravascular temperature modulation was used to treat the secondary injury for a prolonged period of 13 days. The patient showed a complete neurologic recovery with return to work 6 months after her injury.
Lasater
Marie
M
Barnes-Jewish Hospital, St. Louis, MO, USA. calhorselover@yahoo.com
D000063:Accidents, Traffic; D001930:Brain Injuries / Q000209:etiology / Q000517:prevention & control*; D003422:Critical Care / Q000379:methods; D005260:Female; D005334:Fever / Q000209:etiology / Q000517:prevention & control; D015600:Glasgow Coma Scale; D006407:Hematoma, Epidural, Cranial / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods* / Q000451:nursing; D008991:Monitoring, Physiologic / Q000379:methods / Q000451:nursing; D009460:Neurologic Examination / Q000379:methods / Q000451:nursing; D009730:Nursing Assessment; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D020127:Recovery of Function; D012307:Risk Factors; D014057:Tomography, X-Ray Computed