Mild hypothermia for hemispheric cerebral infarction after evacuation of an acute subdural hematoma in an infant

Joji Inamasu, Kiyoshi Ichikizaki, Shinji Matsumoto, Yoshiki Nakamura, Ryoichi Saito, Takashi Horiguchi, Ryuichi Kanai

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The use of mild hypothermia to treat hemispheric infarction after evacuation of an acute subdural hematoma in an infant is reported. The patient, a 2-year-old boy, presented with a deteriorating level of consciousness after a fall from a tree. Computed tomography (CT) scan revealed an acute subdural hematoma on the right side with marked midline shift, and emergency evacuation of the hematoma was performed. The postoperative course was uneventful until the patient's intracranial pressure (ICP) rose and his condition deteriorated 3 days after surgery. CT scan revealed a hemispheric infarction on the injured side. Mild hypothermia was induced to control the ICP and protect the brain. While the hypothermia was effective in lowering the elevated ICP, it failed to arrest progression of the infarction. The patient was discharged with mild disability 2 months after the injury. No serious complications occurred during or after the hypothermia. Our experience indicates that hypothermia can be a useful procedure for controlling the ICP in children with severe traumatic brain injury including acute subdural hematoma, although its capability to protect the brain from severe, progressive ischemia appears to be limited.

Original languageEnglish
Pages (from-to)175-178
Number of pages4
JournalChild's Nervous System
Volume18
Issue number3-4
DOIs
Publication statusPublished - 2002 Apr 1
Externally publishedYes

Keywords

  • Acute subdural hematoma
  • Hemispheric infarction
  • Hypothermia
  • Infant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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