PMID: 18727335Aug 30, 2008Paper

Intravascular temperature modulation as an adjunct to secondary brain injury prevention in a patient with an epidural hematoma

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
Marie Lasater

Abstract

Epidural hematomas (EDHs) account for 10% of fatal injuries in patients with head trauma. Up to 35% of patients suffering EDHs develop secondary brain injury within days after the initial trauma. Secondary brain injury can profoundly affect a patient's subsequent neurologic recovery and functional status. This case study presents a patient who developed an EDH following severe head trauma with signs and symptoms of secondary brain injury; intravascular temperature modulation was used to treat the secondary injury for a prolonged period of 13 days. The patient showed a complete neurologic recovery with return to work 6 months after her injury.

References

Dec 3, 2003·Pathophysiology : the Official Journal of the International Society for Pathophysiology·B Schaller, R Graf
Dec 10, 2003·Best Practice & Research. Clinical Anaesthesiology·Barbara KabonChristian K Spiss
Mar 8, 2005·Critical Care Nursing Clinics of North America·Marie Lasater
May 7, 2005·Critical Care Nursing Quarterly·Joanna E Wright
Oct 31, 2006·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Marie Lasater

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brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

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