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Malignant Brain Stem Hyperthermia Caused by Brain Stem Hemorrhage
Stroke 25:518-520, Kitanaka,C.,et al, 1994
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Article Abstract
Within 1 day of onset,both patients developed hyperthermia of over 41 degrees C,increased serum creatine phosphokinase(CPK)level indicating rhabdomyolysis,and acute renal failure.One patient died on the second day and the other on the third day after onset despite supportive treatment. These cases of brain stem hemorrhage with fulminant hyperthermia should be distinguished from those with simple hyperthermia.They may represent a kind of malignant hyperthermia,in which case dantrolene sodium might be beneficial.Monitoring serum CPK levels would be of help in making the diagnosis early in the course.
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brainstem,hemorrhage,primary
coma
hyperthermia
malignant hyperpyrexia
mortality
pontine hemorrhage
renal failure,acute
rhabdomyolysis
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