Imaging and Monitoring for Brain Hypothermia Management

  • Nariyuki Hayashi
  • Dalton W. Dietrich


The presence of residual hematoma, rebleeding of subdural hematomas on the other side of the brain, complication of acute hydrocephalus, diffuse brain swelling, and brain stem compression are all dangerous conditions. Computed tomography (CT) imaging is recommended as soon as possible after surgery. Further surgery should not be delayed if indications for surgical intervention have been observed. One of the difficulties of surgery is the misdiagnosis of progression of any subdural hematoma on the other side of the brain that was not observed on the preoperative CT scan. Brain swelling after removal of a subdural hematoma suggests the possibility of progression of other thin subdural hematomas, presence of residual subdural hematoma in the nonsurgical field, or rebleeding of a silent hematoma that was not observed on the CT scan because of mechanical compression of the initial subdural hematoma. If residual hematoma is suspected, further surgical craniotomy should be done immediately.


Brain Edema Subdural Hematoma Brain Tissue Oxygen Severe Brain Damage Carotid Blood Flow 
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Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Nariyuki Hayashi
    • 1
    • 2
  • Dalton W. Dietrich
    • 3
    • 4
  1. 1.Nihon University Emergency Medical CenterTokyoJapan
  2. 2.Department of Emergency and Critical Care MedicineNihon University School of MedicineTokyoJapan
  3. 3.Department of Neurological Surgery, Neurology and Cell Biology and AnatomyUniversity of Miami School of MedicineMiamiUSA
  4. 4.The Miami Project to Cure ParalysisMiamiUSA

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