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Home > Riviste > Minerva Anestesiologica > Fascicoli precedenti > Minerva Anestesiologica 2011 Marzo;77(3) > Minerva Anestesiologica 2011 Marzo;77(3):371-4

FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOMINERVA ANESTESIOLOGICA

Rivista di Anestesia, Rianimazione, Terapia Antalgica e Terapia Intensiva


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,036

 

Minerva Anestesiologica 2011 Marzo;77(3):371-4

 CASE REPORTS

Therapeutic hypothermia for space-occupying Herpes simplex virus encephalitis

Wagner I. 1, Staykov D. 1, Volbers B. 1, Kloska S. 2, Dörfler A. 2, Schwab S. 1, Bardutzky J. 1

1 Department of Neurology, University of Erlangen-Nuremberg, Germany;
2 Department of Neuroradiology, University of Erlangen-Nuremberg, Germany

Development of space-occupying edema in patients with severe Herpes simplex virus encephalitis is a major factor for high morbidity and mortality. Conventional intracranial pressure-lowering modalities are limited and more aggressive treatment options for such patients have rarely been described. This article reports on a HIV-positive patient with Herpes simplex type 2 encephalitis and elevated intracranial pressure refractory to medical therapy. Induced moderate hypothermia of 33 °C resulted in fast and sustained control of intracranial pressure. After three months, the patient had a fairly good functional outcome with a Glasgow Outcome Scale score of 4.

lingua: Inglese


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