Hipotermia intravascular prolongada en un paciente con hipertensión endocraneana refractaria

the use of hypothermia after cardiac arrest caused by ventricular fibrillation is a standard clinical practice, however its use for neuroprotection has been extended to other conditions. we report a 23-year-old male with intracranial hypertension secondary to a parenchymal hematoma associated to acute hydrocephalus. an arterial malformation was found and embolized. due to persistent intracranial hypertension, moderate hypothermia with a target temperature of 33°c was started. after 12 hours of hypothermia, intracranial pressure was controlled. after 13 days of hypothermia a definitive control of intracranial pressure was achieved. the patient was discharged 40 days after admission, remains with a mild hemiparesia and is reassuming his university studies.