title: [Prolonged hypothermia in refractory intracranial hypertension. Report of one case].
abstract: 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.
authors: Departamento de Medicina Intensiva, Hospital Clínico, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
authors: Maximiliano
authors: M
authors: Rovegno
authors: José Luis
authors: JL
authors: Valenzuela
authors: Patricio
authors: P
authors: Mellado
authors: Max
authors: M
authors: Andresen
mesh_terms: D002543:Cerebral Hemorrhage / Q000150:complications*; D006406:Hematoma / Q000150:complications*; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D002538:Intracranial Arteriovenous Malformations / Q000000981:diagnostic imaging; D019586:Intracranial Hypertension / Q000209:etiology / Q000628:therapy*; D007427:Intracranial Pressure / Q000502:physiology; D008297:Male; D011859:Radiography; D013997:Time Factors; D055815:Young Adult