![](/images/graphics-bg.png)
Hypothermia with Extreme Bradycardia following Spinal Cord Infarction of Septic Origin
Joint Authors
Duprez, Thierry
Hantson, Philippe
Source
Case Reports in Neurological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Among other autonomic dysfunctions complicating acute spinal cord injury, deep hypothermia is rare but may induce serious cardiovascular complications.
There are few pharmacological options to influence hypothermia.
A 66-year-old woman was transferred to the intensive care unit (ICU) for serious cardiac arrhythmias (atrial fibrillation and asystole) in the context of a deep hypothermia (axillary temperature below 32°C).
She had been admitted to the hospital two months before for an acute L4-L5 infectious spondylodiscitis without any initial neurological deficit.
After surgery for epidural abscess drainage, she became paraplegic due to spinal cord infarction (from C7 to T6 levels) in the upper territory of the anterior spinal artery.
In the ICU, the patient experienced several episodes of asystole and hypotension associated with a core body temperature below 35°C.
Common causes of hypothermia (drugs, hypothyroidism, etc.) were excluded.
A definitive pacemaker had to be inserted, but hypotension persisted.
The prescription of oral progesterone (200 mg·d−1) helped to maintain a core temperature higher than 35°C, with a withdrawal of vasopressors.
This case report illustrates that patients with incomplete spinal cord injury may present with delayed and deep hypothermia leading to serious cardiovascular complications.
Progesterone could be able to influence positively central and peripheral thermal regulation.
American Psychological Association (APA)
Hantson, Philippe& Duprez, Thierry. 2017. Hypothermia with Extreme Bradycardia following Spinal Cord Infarction of Septic Origin. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147071
Modern Language Association (MLA)
Hantson, Philippe& Duprez, Thierry. Hypothermia with Extreme Bradycardia following Spinal Cord Infarction of Septic Origin. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1147071
American Medical Association (AMA)
Hantson, Philippe& Duprez, Thierry. Hypothermia with Extreme Bradycardia following Spinal Cord Infarction of Septic Origin. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1147071
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147071