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 journalArticle

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 languageEnglish (US)
Pages (from-to)681-683
Number of pages3
JournalActa Neurochirurgica
Volume148
Issue number6
DOIs
StatePublished - Jun 1 2006

Keywords

  • Brain cooling
  • Head injury
  • Helmet
  • Hypothermia
  • Stroke

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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