artículo
Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria
Fecha
2012Registro en:
10.4067/S0034-98872012000200011
0717-6163
0034-9887
MEDLINE:22739952
WOS:000301221900011
Autor
Rovegno, Maximiliano
Luis Valenzuela, Jose
Mellado, Patricio
Andresen, Max
Institución
Resumen
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 degrees 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. (Rev Med Chile 2012; 140: 219-224).