Severe Hypothermia Accompanying Acute Subdural Hemorrhage.
- Author:
Jung Goan KIM
1
;
Seok Won KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@hanmail.net
- Publication Type:Case Report
- Keywords:
Severe hypothermia;
Subdural hemorrhage
- MeSH:
Adult;
Body Temperature;
Brain;
Decompressive Craniectomy;
Emergencies;
Emergency Service, Hospital;
Freezing;
Hematoma;
Hematoma, Subdural*;
Humans;
Hypothermia*;
Rewarming;
Vital Signs;
Water
- From:Journal of Korean Neurosurgical Society
2006;39(3):228-230
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hypothermia is relatively a common condition and most cases involve mild hypothermia. But severe hypothermia below 30 degrees C is medical an emergency condition. We report the case of a 41-year-old man who had been left in a manhole for more than 9 hours on a freezing cold water. He was transported to our emergency room in semicomatose state with a body temperature 26.5 degrees C The patient was warmed with active rewarming. After initial stabilization, the patient was taken for a brain computed tomography and found to have large fronto-temporo-parietal(FTP) subdural hemorrhage. The patient underwent an emergent decompressive craniectomy and hematoma evacuation. After surgery, he recovered to drowsy mentation and vital signs were stable.