19 Harley St, London, W1G 9QJ, UK

Endovascular cooling for severe hyperthermia in cervical spine injury

BACKGROUND: Sustained severe hyperthermia in patients with high cervical spinal cord injuries may have many etiologies, from infection to autonomic dysregulation. When uncontrolled, it has been seen to have a high morbidity and mortality. METHODS: We present two patients with high cervical spinal cord injury (SCI) who had sustained severe hyperpyrexia, of possible autonomic origin. The temperature stayed above 40 degrees C and was uncontrolled with conventional methods of temperature management. RESULTS: We employed endovascular cooling for therapeutic normothermia which was successful in effective control of temperature in both the patients. The first patient suffered complications from deep vein thrombosis and pulmonary embolism which may be attributed to the presence of the cooling catheter in spite of chemical and mechanical thromboprophylaxis. CONCLUSIONS: The use of endovascular cooling in the management of severe life threatening hyperthermia in patients with cervical SCI may be an useful intervention. There must be a high suspicion for the possibility of deep vein thrombosis in this subgroup, however

Keywords : Accidents,Traffic,Adult,adverse effects,Autonomic Nervous System,Catheters,Indwelling,Cervical Vertebrae,complications,Embolism,Endovascular Procedures,etiology,Fatal Outcome,Fever,Fractures,Compression,Humans,Hypothermia,Induced,Infection,injuries,instrumentation,Male,methods,Morbidity,mortality,Motorcycles,Patients,physiopathology,Pulmonary Embolism,Spinal Cord,Spinal Cord Injuries,Spinal Fractures,Spinal Fusion,Spine,Temperature,therapy,Venous Thrombosis,, Cooling,Severe,Hyperthermia, laser spine institute london ontario

Date of Publication : 2011 Dec

Authors : Tripathy S;Whitehead CF;

Organisation : Department of Neuroanaesthesia and Neurointensive Care, The Walton Centre of Neurosciences, Liverpool, UK. tripathyswagata@gmail.com

Journal of Publication : Neurocrit Care

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21442387

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Endovascular Cooling for Severe Hyperthermia in Cervical Spine Injury | Can myofascial pain syndrome be cured

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810