Revista médica de Chile
versión impresa ISSN 0034-9887
ROVEGNO, Maximiliano; VALENZUELA, José Luis; MELLADO, Patricio y ANDRESEN, Max. Prolonged hypothermia in refractory intracranial hypertension. Report of one case. Rev. méd. Chile [online]. 2012, vol.140, n.2, pp. 219-224. ISSN 0034-9887. http://dx.doi.org/10.4067/S0034-98872012000200011.
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.
Palabras llave : Hematoma, subdural; Hypothermia, Induced; Intracranial Hypertension; Intracranial Arteriovenous malformations.