BIOMAT Database Logo BIOMAT Database Logo

Disassociation between intracranial and systemic temperatures as an early sign of brain death. 2003

K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Department of Neurosurgery, The Medical Center of Central Georgia, Mercer University School of Medicine, Macon, Georgia, USA. knfountasmd@excite.com

Intracranial temperature and its normal variation, as well as its response to various pathologic conditions, has become a critical component of monitoring in neurosurgical intensive care. In a prospective clinical study of 54 neurosurgical patients, intracranial pressure, cerebral perfusion pressure, and intraventricular and systemic temperatures were monitored in a neurosurgical intensive care unit. All of our patients' intraventricular temperatures were initially higher than their systemic temperatures. In 11 patients, the intraventricular temperature became lower than the systemic temperature, in a median time of 4.43 hours (range, 4.21-5.18 hours), prior to any changes in intracranial and cerebral perfusion pressures. Reversal of the disassociation between intraventricular and systemic temperatures may be an early marker of patients with a poor prognosis.

UI MeSH Term Description Entries
D007427 Intracranial Pressure Pressure within the cranial cavity. It is influenced by brain mass, the circulatory system, CSF dynamics, and skull rigidity. Intracerebral Pressure,Subarachnoid Pressure,Intracerebral Pressures,Intracranial Pressures,Pressure, Intracerebral,Pressure, Intracranial,Pressure, Subarachnoid,Pressures, Intracerebral,Pressures, Intracranial,Pressures, Subarachnoid,Subarachnoid Pressures
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D001831 Body Temperature The measure of the level of heat of a human or animal. Organ Temperature,Body Temperatures,Organ Temperatures,Temperature, Body,Temperature, Organ,Temperatures, Body,Temperatures, Organ
D001921 Brain The part of CENTRAL NERVOUS SYSTEM that is contained within the skull (CRANIUM). Arising from the NEURAL TUBE, the embryonic brain is comprised of three major parts including PROSENCEPHALON (the forebrain); MESENCEPHALON (the midbrain); and RHOMBENCEPHALON (the hindbrain). The developed brain consists of CEREBRUM; CEREBELLUM; and other structures in the BRAIN STEM. Encephalon
D001926 Brain Death A state of prolonged irreversible cessation of all brain activity, including lower brain stem function with the complete absence of voluntary movements, responses to stimuli, brain stem reflexes, and spontaneous respirations. Reversible conditions which mimic this clinical state (e.g., sedative overdose, hypothermia, etc.) are excluded prior to making the determination of brain death. (From Adams et al., Principles of Neurology, 6th ed, pp348-9) Brain Dead,Coma Depasse,Irreversible Coma,Brain Deads,Coma, Irreversible,Death, Brain
D002552 Cerebral Ventricles Four CSF-filled (see CEREBROSPINAL FLUID) cavities within the cerebral hemispheres (LATERAL VENTRICLES), in the midline (THIRD VENTRICLE) and within the PONS and MEDULLA OBLONGATA (FOURTH VENTRICLE). Foramen of Monro,Cerebral Ventricular System,Cerebral Ventricle,Cerebral Ventricular Systems,Monro Foramen,System, Cerebral Ventricular,Systems, Cerebral Ventricular,Ventricle, Cerebral,Ventricles, Cerebral,Ventricular System, Cerebral,Ventricular Systems, Cerebral

Related Publications

K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Visual defect as an early sign of intracranial tumor.
May 1967, Eye, ear, nose & throat monthly,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Insomnia as an early sign of brain abscess.
December 1945, Irish journal of medical science,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Hyperthermia as an early sign of intracranial hemorrhage in full-term neonates.
June 2008, Pediatrics and neonatology,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Nodular erythema as early sign of systemic aspergillosis.
May 2006, Journal of the European Academy of Dermatology and Venereology : JEADV,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
[Equalization of intracranial and systemic arterial pressures in brain death states].
January 1974, Annales de l'anesthesiologie francaise,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
The false sulcus: an early sign of intracranial mass.
May 1983, The Journal of computed tomography,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Round fingerpad sign as an early sign of scleroderma.
November 1991, Journal of the American Academy of Dermatology,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
[Early ophthalmoscopic sign of intracranial hypertension].
December 1947, Arquivos de neuro-psiquiatria,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
Anatomical disassociation of amphetamine's rewarding and aversive effects: an intracranial microinjection study.
January 1986, Psychopharmacology,
K N Fountas, and E Z Kapsalaki, and C H Feltes, and H F Smisson, and K W Johnston, and A Grigorian, and J S Robinson
A Large Discrepancy between Oral versus Rectal Temperatures as an Early Warning Sign in a Patient with Acute Infrarenal Aortic Occlusion.
April 2020, The Journal of emergency medicine,
Copied contents to your clipboard!