Therapeutic Hypothermia after Decompressive Craniectomy in Malignant Cerebral Infarction
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ÀåÁØ¿µ(Chang Jun-Young) - Seoul National University Bundang Hospital Department of Interdisciplinary Care Medicine
È«Á¤È£(Hong Jeong-Ho) - Keimyung University Dongsan Medical Center Department of Neurology
Á¤ÁøÇå(Jeong Jin-Heon) - Seoul National University Bundang Hospital Department of Interdisciplinary Care Medicine
³²¼ºÁø(Nam Sung-Jin) - Seoul National University Bundang Hospital Department of Interdisciplinary Care Medicine
ÀåÁöȯ(Jang Ji-Hwan) - Seoul National University Bundang Hospital Department of Neurosurgery
¹æÀç½Â(Bang Jae-Seung) - Seoul National University Bundang Hospital Department of Neurosurgery
Çѹ®±¸(Han Moon-Ku) - Seoul National University Bundang Hospital Department of Neurology
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.
Å°¿öµå
brain edema, cerebral infarction, decompressive craniectomy, hypothermia
KMID :
0604020140290020093
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