Successful Use of Prolonged Mild Hypothermia in a Patient With Severe Head Injury and Diffuse Brain Swelling : Case Report
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概要
- 論文の詳細を見る
A 19-year-old female was admitted to our hospital after severe head injury in a traffic accident. On admission, she had no spontaneous respiration, but did have heart beat with a blood pressure of 100/60 mmHg. Neurological examination demonstrated that the Glasgow Coma Scale score was 3 and her pupils were fixed and dilated. Computed tomography (CT) showed diffuse brain swelling with disappearance of the perimesencephalic cistern. Chest CT showed bilateral lung contusions. Mild hypothermia with a target temperature of 33℃ was immediately induced, and was continued for 28 days to control the persistent increase in intracranial pressure (ICP). Subsequently, she recovered, and 20 months after admission, could speak and walk with slight hemiparesis on the left. Prolonged mild hypothermia may be effective to control persistent increase in ICP due to diffuse brain swelling.
- 社団法人 日本脳神経外科学会の論文
- 2007-03-15
著者
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Ishikura Hiroyasu
Department Of Emergency And Critical Care Medicine Kansai Medical University
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Ishikura Hiroyasu
Department Of Emergency And Critical Care National Hospital Organization Kyoto Medical Center
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MURAKAMI MAMORU
Department of Anesthesiology and Emergency Medicine, Tohoku University Postgraduate Medical School
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Hatano Taketo
Department Of Neurosurgery National Hospital Organization Kyoto Medical Center
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TSUKAHARA Tetsuya
Department of Neurosurgery, National Hospital Organization Kyoto Medical Center
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NAKAKUKI Takuya
Department of Neurosurgery, National Hospital Organization Kyoto Medical Center
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OGINO Eiji
Department of Neurosurgery, National Hospital Organization Kyoto Medical Center
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AOYAMA Takako
Department of Neurosurgery, National Hospital Organization Kyoto Medical Center
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Aoyama Takako
Department Of Neurosurgery National Hospital Organization Kyoto Medical Center
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Nakakuki Takuya
Department Of Neurosurgery National Hospital Organization Kyoto Medical Center
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Ogino Eiji
Department Of Neurosurgery National Hospital Organization Kyoto Medical Center
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Tsukahara Tetsuya
Department Of Neurosurgery National Hospital Organization Kyoto Medical Center
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Tsukahara Tetsuya
Department Of Dermatology Kitasato University School Of Medicine
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Murakami Mamoru
Department Of Neurosurgery National Hospital Organization Kyoto Medical Center:(present Office)depar
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Murakami Mamoru
Department Of Anesthesiology And Emergency Medicine Tohoku University Postgraduate Medical School
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Ishikura Hiroyasu
Department Of Emergency And Critical Care Medicine Fukuoka University Hospital
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