Brain Hypothermia for Occlusive Cerebral Stroke

  • Nariyuki Hayashi
  • Dalton W. Dietrich


The mechanism of brain damage caused by occlusive cerebral stroke is different with acute onset and chronic progression. The harmful stress-associated neurohormonal reactions of the hypothalamus—pituitary—adrenal (HPA) axis and hyperglycemia [8, 9, 10] are only observed at the acute onset of large cerebral infarction (Table 82.) In this group, a higher incidence of complete cerebrovascular obstruction (CVO) than incomplete CVO was recorded. However, in cases of slow onset, incomplete occlusive cerebral stroke or small cerebral infarction are most common and stress-associated hyperglycemia is not recorded. The intensive care unit (ICU) management strategy is different in these two groups.


Cerebral Infarction Slow Onset Brain Stem Infarction Selective Brain Cool Brain Hypothermia 


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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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