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Journal of Korean Neurosurgical Society 2006;39(3): 228-230.
Severe Hypothermia Accompanying Acute Subdural Hemorrhage.
Jung Goan Kim, Seok Won Kim
Department 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.
Key Words: Severe hypothermia; Subdural hemorrhage
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