Therapeutic Hypothermia for Acute Air Embolic Stroke

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Therapeutic Hypothermia for Acute Air Embolic Stroke

We describe a 65-year-old man who presented to the emergency department with acute cerebral air embolism after receiving computed tomography guided lung biopsy. The patient presented with muscle strengths of 0/5 in left arm and 3/5 in left leg, aphasia, and a right pneumothorax. Our concern was to improve the patient’s neurological function, while ensuring stability in a patient who possibly ha...

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Therapeutic Hypothermia in Acute Stroke

Stroke is the second most common cause of death and a major cause of serious long-term disability in adults in industrialized countries. Approximately 90% of strokes are ischemic and the rest are hemorrhagic.[1] Unfortunately, few effective treatments can be offered during the acute and subacute phases. Since the introduction of tissue plasminogen activator (tPA) in 1995, there are no other med...

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Therapeutic hypothermia for acute ischemic stroke.

Intravenous recombinant tissue plasminogen activator remains the only US FDA-approved treatment for acute ischemic stroke. However, the very limited time window for its administration restricts its usefulness. Furthermore, it is becoming increasingly clear that, given the numerous pathways via which cerebral ischemia causes cell death, the capacity to inhibit multiple mechanisms simultaneously ...

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Therapeutic Hypothermia in Stroke

1Department of Neurology, University of California, San Francisco Neurology (127) VAMC 4150 Clement Street, San Francisco, CA 94121, USA 2Department of Psychology, University of Alberta, Edmonton, AB, Canada T6G 2E9 3Department of Neurosciences, University of California, San Diego, 9444 Campus Point Drive, La Jolla, CA 92037, USA 4Department of Physiology, Kyungpook National University School o...

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Induced hypothermia for acute stroke.

Induced hypothermia is one of the most promising neuroprotective therapies. Technological limitations and homeostatic mechanisms that maintain core body temperature have impeded the clinical use of hypothermia. Recent advances in intravascular cooling catheters and successful trials of hypothermia for cardiac arrest and neonatal asphyxia renewed interest in hypothermia for stroke, resulting in ...

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ژورنال

عنوان ژورنال: Western Journal of Emergency Medicine

سال: 2012

ISSN: 1936-900X,1936-9018

DOI: 10.5811/westjem.2011.4.6659