J Korean Neurosurg Soc.  2006 Mar;39(3):228-230.

Severe Hypothermia Accompanying Acute Subdural Hemorrhage

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. chosunns@hanmail.net

Abstract

Hypothermia is relatively a common condition and most cases involve mild hypothermia. But severe hypothermia below 30 degrees C is medical an emergency condition. We report the case of a 41-year-old man who had been left in a manhole for more than 9 hours on a freezing cold water. He was transported to our emergency room in semicomatose state with a body temperature 26.5 degrees C The patient was warmed with active rewarming. After initial stabilization, the patient was taken for a brain computed tomography and found to have large fronto-temporo-parietal(FTP) subdural hemorrhage. The patient underwent an emergent decompressive craniectomy and hematoma evacuation. After surgery, he recovered to drowsy mentation and vital signs were stable.

Keyword

Severe hypothermia; Subdural hemorrhage

MeSH Terms

Adult
Body Temperature
Brain
Decompressive Craniectomy
Emergencies
Emergency Service, Hospital
Freezing
Hematoma
Hematoma, Subdural*
Humans
Hypothermia*
Rewarming
Vital Signs
Water
Water
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