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Therapeutic Hypothermia after Decompressive Craniectomy in Malignant Cerebral Infarction

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Author(s)
Jun Young ChangJeong-Ho HongJin-Heon JeongSung-Jin NamJi-Hwan JangJae Seung BangMoon-Ku Han
Keimyung Author(s)
Hong, Jeong Ho
Department
Dept. of Neurology (신경과학)
Journal Title
Korean Journal of Critical Care Medicine
Issued Date
2014
Volume
29
Issue
2
Keyword
Brain edemaCerebral infarctionDecompressive craniectomyHypothermia
Abstract
Decompressive hemicraniectomy followed by subsequent therapeutic hypothermia can reduce mortality in patients with malignant
cerebral infarction without significantly increasing risk. We report three cases of malignant cerebral infarction treated with hemicraniectomy
followed by hypothermia. Case 1 received elective decompressive surgery and hypothermia. Case 2 developed subsequent
cerebral 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 patients
survived with a score of 4 or 5 on the modified Rankin scale. Therefore, we suggest that application of hypothermia after hemicraniectomy
is safe and feasible. Several possible modifications can be made to improve the management strategy in order to increase
the benefits of hypothermia treatment.
Keimyung Author(s)(Kor)
홍정호
Publisher
School of Medicine
Citation
Jun Young Chang et al. (2014). Therapeutic Hypothermia after Decompressive Craniectomy in
Malignant Cerebral Infarction. Korean Journal of Critical Care Medicine, 29(2), 93–98. doi: 10.4266/kjccm.2014.29.2.93
Type
Article
ISSN
2383-4870
DOI
10.4266/kjccm.2014.29.2.93
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39626
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurology (신경과학)
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