Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria.

Resumen

PROLONGED HYPOTHERMIA IN REFRACTORY  INTRACRANIAL HYPERTENSION. REPORT OF ONE CASE
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 years old male with intracranial hypertension secondary to a parenchymal hematoma associated to acute hydrocephaly. 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.