Monday, June 15, 2015

Complete Resolution of Post-Operative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A case study and literature review

So I wonder why this worked compared to this research that suggests hypothermia doesn't help.
But ask your doctor what research they are following on this.

Mild intraoperative hypothermia during surgery for intracranial aneurysm (Todd et al,60 2005)Hypothermia was found to be helpful as a neurosurgical adjunct in 1955, especially for ischemic and traumatic insults.
At the time of this publication, the practice was used in nearly 50% of aneurysm surgeries.61 This large randomized study, the Intraoperative Hypothermia for Aneurysm Surgery Trial (IHAST), found no improvement in neurologic outcomes with hypothermia, while noting an increase in bacterial infections with the intervention.

Complete Resolution of Post-Operative Hemiparesis following Carotid Endarterectomy with Therapeutic Hypothermia: A case study and literature review

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Abstract

Therapeutic hypothermia (TH) is indicated in a number of traumatic brain injuries as well as for cardiovascular shock1, but it has been limited in its application to acute ischemic stroke. We present the case of a 65-year-old woman with a clinical cerebrovascular accident (CVA) following a right carotid endarterectomy who was treated with a 24-hour hypothermia protocol and had a full recovery. The hypothermia protocol utilized on this patient and a review of the literature surrounding hypothermia in the setting of ischemic stroke are presented.

Please address correspondence to: Andreas Sakopoulos, MD FACS, Cardiothoracic and Endovascular Surgery, St. Helena Hospital, 10 Woodland Road, St. Helena, CA 94574. Phone number: 707-963-6315.

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