|
KMID : 0604020140290020093
|
|
Korean Journal of Critical Care Medicine
2014 Volume.29 No. 2 p.93 ~ p.98
|
|
|
Therapeutic Hypothermia after Decompressive Craniectomy in Malignant Cerebral Infarction
|
|
Chang Jun-Young
Hong Jeong-Ho
Jeong Jin-Heon
Nam Sung-Jin
Jang Ji-Hwan
Bang Jae-Seung
Han Moon-Ku
|
|
|
Abstract
|
|
|
|
Decompressive hemicraniectomy followed by subsequent therapeutic hypothermia can reduce mortality in patients with malignantcerebral infarction without significantly increasing risk. We report three cases of malignant cerebral infarction treated with hemicraniectomyfollowed by hypothermia. Case 1 received elective decompressive surgery and hypothermia. Case 2 developed subsequentcerebral infarction with uncal herniation. Therefore, emergent decompressive surgery and hypothermia was performed in this case. Despite surgery and hyperosmolar therapy, case 3 received hypothermia treatment for refractory increased intracranial pressure. All patientssurvived with a score of 4 or 5 on the modified Rankin scale. Therefore, we suggest that application of hypothermia after hemicraniectomyis safe and feasible. Several possible modifications can be made to improve the management strategy in order to increasethe benefits of hypothermia treatment.
|
|
|
KEYWORD
|
|
|
brain edema, cerebral infarction, decompressive craniectomy, hypothermia
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|