Hyperthermia Plus Tachycardia Is Predictive of Fatal Outcome in Pontine Hemorrhage: A Case Report.
10.4266/kjccm.2010.25.4.263
- Author:
Dong Woong EOM
1
;
Kyoung Dong JEON
;
Jung Soo KIM
Author Information
1. Department of Neurosurgery, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea.
- Publication Type:Case Report
- Keywords:
hyperthermia;
pontine hemorrhage;
tachycardia
- MeSH:
Body Temperature;
Death, Sudden, Cardiac;
Drainage;
Fatal Outcome;
Fever;
Heart Rate;
Hemorrhage;
Humans;
Intracranial Pressure;
Tachycardia;
Vital Signs
- From:The Korean Journal of Critical Care Medicine
2010;25(4):263-265
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pontine hemorrhage is characterized by high mortality and morbidity. We report a case of pontine hemorrhage treated by extraventricular drainage (EVD) of cerebrospinal fluid (CSF) and control of intracranial pressure (ICP) at the neuro-intensive care unit (NICU). The patient's ICP was well controlled, but hyperthermia with tachycardia developed 8 hours after admission, and the patient expired with sudden cardiac arrest. A literature review revealed that high fever (>39degrees C) developing within 24 hours after onset of hemorrhage with tachycardia (>110 beat/min) is a clinical indicator for high probability of death. Therefore, it is important that not only ICP and neurological changes but also vital signs, especially body temperature and heart rate, be monitored in pontine hemorrhage patients.
