Special Consideration of Brain Hypothermia Treatment for Subarachnoid Hemorrhage

  • Nariyuki Hayashi
  • Dalton W. Dietrich


Brain hypothermia treatment is very effective for severe head trauma [13,15,17,19], postresuscitation of cardiac arrest [18,30], brain hypoxia [30], and occlusive cerebral stroke [9,11,30]. However, the effectiveness of brain hypothermia treatment for subarachnoid hemorrhage (SAH) is still controversial. The reason for the ineffectiveness of brain hypothermia treatment for SAH is the difficulty in controlling cerebral vasospasm under brain hypothermia. The diffuse vascular narrowing of cerebral vasospasm produces severe cerebral ischemia that is difficult to treat even with brain hypothermia management (Fig. 113). However, there are many questions about the relationships between the progression of cerebral vasospasm and brain hypothermia. The worsening of vasospasm by brain hypothermia, delayed progression of cerebral vasospasms during brain hypothermia, worsening of vasospasms after rewarming, good prognosis even with presence of diffuse vascular narrowing (Fig. 114), and poor prognosis without severe vasospasm are major clinical issues.


Subarachnoid Hemorrhage Cerebral Vasospasm Basal Cistern Severe Hyperglycemia Severe Vasospasm 
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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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