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

Radiology

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

4 Scopus citations

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

Keywords

Brain cooling
Head injury
Helmet
Hypothermia
Stroke

ASJC Scopus subject areas

Surgery
Clinical Neurology

Access to Document

10.1007/s00701-006-0748-y

Cite this

@article{24fb71898bc243f08f337489987f06cf,

title = "Differential interhemispheric cooling and ICP compartmentalization in a patient with left ICA occlusion",

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.",

keywords = "Brain cooling, Head injury, Helmet, Hypothermia, Stroke",

author = "H. Wang and D. Wang and G. Lanzino and W. Elkins and W. Olivero",

year = "2006",

month = jun,

doi = "10.1007/s00701-006-0748-y",

language = "English (US)",

volume = "148",

pages = "681--683",

journal = "Acta Neurochirurgica",

issn = "0001-6268",

publisher = "Springer Wien",

number = "6",

}

TY - JOUR

T1 - Differential interhemispheric cooling and ICP compartmentalization in a patient with left ICA occlusion

AU - Wang, H.

AU - Wang, D.

AU - Lanzino, G.

AU - Elkins, W.

AU - Olivero, W.

PY - 2006/6

Y1 - 2006/6

N2 - 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.

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.

KW - Brain cooling

KW - Head injury

KW - Helmet

KW - Hypothermia

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=33745088690&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33745088690&partnerID=8YFLogxK

U2 - 10.1007/s00701-006-0748-y

DO - 10.1007/s00701-006-0748-y

M3 - Article

C2 - 16502336

AN - SCOPUS:33745088690

SN - 0001-6268

VL - 148

SP - 681

EP - 683

JO - Acta Neurochirurgica

JF - Acta Neurochirurgica

IS - 6

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this