title: Complete resolution of postoperative hemiparesis following carotid endarterectomy with therapeutic hypothermia: a case study and literature review.
abstract: Therapeutic hypothermia is indicated in a number of traumatic brain injuries as well as for cardiovascular shock (Warner DS, James ML, Laskowitz, et al. Translational research in acute central nervous system injury: lessons learned and the future. JAMA Neurol 2014;71:1311-1318), but it has been limited in its application to acute ischemic stroke. We present the case of a 65-year-old woman with a clinical cerebrovascular accident following a right carotid endarterectomy who was treated with a 24-hr hypothermia protocol and had a full recovery. The hypothermia protocol utilized on this patient and a review of the literature surrounding hypothermia in the setting of ischemic stroke are presented.
authors.affiliation: Department of Cardiothoracic and Endovascular Surgery, St. Helena Hospital, St Helena, CA.
authors.forename: Irina
authors.initials: I
authors.lastname: Usach
authors.affiliation: Department of Cardiothoracic and Endovascular Surgery, St. Helena Hospital, St Helena, CA. Electronic address: andreas.sakopoulos@ah.org.
authors.forename: Andreas
authors.initials: A
authors.lastname: Sakopoulos
authors.affiliation: Department of Pulmonary and Critical Care Medicine, St. Helena Hospital, St Helena, CA.
authors.forename: Hossein
authors.initials: H
authors.lastname: Razavi
mesh_terms: D000368:Aged; D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D010291:Paresis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D020127:Recovery of Function; D012720:Severity of Illness Index; D020521:Stroke / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome