Differential interhemispheric cooling and ICP compartmentalization in a patient with left ICA occlusion

H. Wang; D. Wang; G. Lanzino; W. Elkins; W. Olivero

doi:10.1007/s00701-006-0748-y

Differential interhemispheric cooling and ICP compartmentalization in a patient with left ICA occlusion

H. Wang, D. Wang, G. Lanzino, W. Elkins, W. Olivero

Research output: Contribution to journal › Article › peer-review

Abstract

We report a case of a 69-year-old white female who presented with a large left internal carotid artery occlusive stroke from a cardiogenic embolus. She was enrolled in an institutional study using a specially designed cooling helmet. Bilateral intracranial pressure (ICP) and temperature probes were placed to determine if there was any differential cooling and ICP compartmentalization between the two hemispheres. We demonstrated a significant temperature gradient between the infarcted and the non-infarcted hemisphere. A significant inter-hemispheric ICP gradient was also observed. We believe that this is the first demonstration of preferential cooling of the infarcted hemisphere over the non-infarcted hemisphere with regional surface hypothermia.

Original language	English (US)
Pages (from-to)	681-683
Number of pages	3
Journal	Acta Neurochirurgica
Volume	148
Issue number	6
DOIs	https://doi.org/10.1007/s00701-006-0748-y
State	Published - Jun 2006
Externally published	Yes

Keywords

Brain cooling
Head injury
Helmet
Hypothermia
Stroke

ASJC Scopus subject areas

Surgery
Clinical Neurology

Online availability

10.1007/s00701-006-0748-y

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AU - Wang, H.

AU - Wang, D.

AU - Lanzino, G.

AU - Elkins, W.

AU - Olivero, W.

PY - 2006/6

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AB - We report a case of a 69-year-old white female who presented with a large left internal carotid artery occlusive stroke from a cardiogenic embolus. She was enrolled in an institutional study using a specially designed cooling helmet. Bilateral intracranial pressure (ICP) and temperature probes were placed to determine if there was any differential cooling and ICP compartmentalization between the two hemispheres. We demonstrated a significant temperature gradient between the infarcted and the non-infarcted hemisphere. A significant inter-hemispheric ICP gradient was also observed. We believe that this is the first demonstration of preferential cooling of the infarcted hemisphere over the non-infarcted hemisphere with regional surface hypothermia.

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KW - Head injury

KW - Helmet

KW - Hypothermia

KW - Stroke

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Differential interhemispheric cooling and ICP compartmentalization in a patient with left ICA occlusion

Abstract

Keywords

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