Hyperthermia following traumatic brain injury: A critical evaluation

Hilaire J. Thompson; Nancy C. Tkacs; Kathryn E. Saatman; Ramesh Raghupathi; Tracy K. McIntosh

doi:10.1016/S0969-9961(02)00030-X

Hyperthermia following traumatic brain injury: A critical evaluation

Hilaire J. Thompson, Nancy C. Tkacs, Kathryn E. Saatman, Ramesh Raghupathi, Tracy K. McIntosh

Research output: Contribution to journal › Review article › peer-review

127 Scopus citations

Abstract

Hyperthermia, frequently seen in patients following traumatic brain injury (TBI), may be due to posttraumatic cerebral inflammation, direct hypothalamic damage, or secondary infection resulting in fever. Regardless of the underlying cause, hyperthermia increases metabolic expenditure, glutamate release, and neutrophil activity to levels higher than those occurring in the normothermic brain-injured patient. This synergism may further compromise the injured brain, enhancing the vulnerability to secondary pathogenic events, thereby exacerbating neuronal damage. Although rigorous control of normal body temperature is the current standard of care for the brain-injured patient, patient management strategies currently available are often suboptimal and may be contraindicated. This article represents a compendium of published work regarding the state of knowledge of the relationship between hyperthermia and TBI, as well as a critical examination of current management strategies.

Original language	English
Pages (from-to)	163-173
Number of pages	11
Journal	Neurobiology of Disease
Volume	12
Issue number	3
DOIs	https://doi.org/10.1016/S0969-9961(02)00030-X
State	Published - Apr 2003

Bibliographical note

Funding Information:
This work was supported, in part, by grants from the National Institute of Health National Institute of Nursing Research (F31-NR794), National Institute of Neurological Disorders and Stroke (P50-NS08803 and R01-NS40978), and National Institute of General Medical Sciences (R01-GM34790), a grant from the American Association of Critical-care Nurses/Sigma Theta Tau International, a Merit Review grant from the Veterans Administration and a Veterans Administration-DOD consortium Merit Review Grant.

Keywords

Antipyretic therapy
Cytokines
Fever
Head injury
Hypothalamus
Thermoregulation

ASJC Scopus subject areas

Neurology

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title = "Hyperthermia following traumatic brain injury: A critical evaluation",

abstract = "Hyperthermia, frequently seen in patients following traumatic brain injury (TBI), may be due to posttraumatic cerebral inflammation, direct hypothalamic damage, or secondary infection resulting in fever. Regardless of the underlying cause, hyperthermia increases metabolic expenditure, glutamate release, and neutrophil activity to levels higher than those occurring in the normothermic brain-injured patient. This synergism may further compromise the injured brain, enhancing the vulnerability to secondary pathogenic events, thereby exacerbating neuronal damage. Although rigorous control of normal body temperature is the current standard of care for the brain-injured patient, patient management strategies currently available are often suboptimal and may be contraindicated. This article represents a compendium of published work regarding the state of knowledge of the relationship between hyperthermia and TBI, as well as a critical examination of current management strategies.",

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AU - McIntosh, Tracy K.

N1 - Funding Information: This work was supported, in part, by grants from the National Institute of Health National Institute of Nursing Research (F31-NR794), National Institute of Neurological Disorders and Stroke (P50-NS08803 and R01-NS40978), and National Institute of General Medical Sciences (R01-GM34790), a grant from the American Association of Critical-care Nurses/Sigma Theta Tau International, a Merit Review grant from the Veterans Administration and a Veterans Administration-DOD consortium Merit Review Grant.

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N2 - Hyperthermia, frequently seen in patients following traumatic brain injury (TBI), may be due to posttraumatic cerebral inflammation, direct hypothalamic damage, or secondary infection resulting in fever. Regardless of the underlying cause, hyperthermia increases metabolic expenditure, glutamate release, and neutrophil activity to levels higher than those occurring in the normothermic brain-injured patient. This synergism may further compromise the injured brain, enhancing the vulnerability to secondary pathogenic events, thereby exacerbating neuronal damage. Although rigorous control of normal body temperature is the current standard of care for the brain-injured patient, patient management strategies currently available are often suboptimal and may be contraindicated. This article represents a compendium of published work regarding the state of knowledge of the relationship between hyperthermia and TBI, as well as a critical examination of current management strategies.

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Hyperthermia following traumatic brain injury: A critical evaluation

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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