Craniocerebral hypothermia as a therapeutic treatment option for thermal balance disturbances in post-comatose patients

Шевелев, О. А.; Саидов, Ш Х; Petrova, Marina V.; Chubarova, M. A.; Ш, Усманов Э

doi:10.36425/rehab20411

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…The decrease of heterogeneity in the acute period of ischemic stroke [ 26 ] and its increase in patients with DOC in this study were accompanied by an improvement in clinical status and consciousness level, to a certain extent confirming this hypothesis.…”

Section: Discussionsupporting

confidence: 84%

Correction of Local Brain Temperature after Severe Brain Injury Using Hypothermia and Medical Microwave Radiometry (MWR) as Companion Diagnostics

et al. 2023

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The temperature of the brain can reflect the activity of its different regions, allowing us to evaluate the connections between them. A study involving 111 patients in a vegetative state or minimally conscious state used microwave radiometry to measure their cortical temperature. The patients were divided into a main group receiving a 10-day selective craniocerebral hypothermia (SCCH) procedure, and a control group receiving basic therapy and rehabilitation. The main group showed a significant improvement in consciousness level as measured by CRS-R assessment on day 14 compared to the control group. Temperature heterogeneity increased in patients who received SCCH, while remaining stable in the control group. The use of microwave radiometry to assess rehabilitation effectiveness and the inclusion of SCCH in rehabilitation programs appears to be a promising approach.

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Section: Discussionsupporting

confidence: 84%

Correction of Local Brain Temperature after Severe Brain Injury Using Hypothermia and Medical Microwave Radiometry (MWR) as Companion Diagnostics

et al. 2023

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“…Also the craniocerebral hypothermia (CCH) method is known which is based on lowering the temperature of the scalp in the craniocerebral region in combination with neck cooling in the area of projections of the carotid arteries [12]. It is also possible to use selective craniocerebral hypothermia (SCCH) without cooling the neck, which has proven itself well in the treatment of acute ischemic stroke and many diseases accompanied by cerebral and general hyperthermia (paroxysmal sympathetic hyperactivity syndrome, delirious and withdrawal syndromes, pyretic fever) [13]. Selective CCH does not affect basal body temperature and other homeostasis parameters with a heat removal session of up to 4 hours and is the best candidate for use in sports with mild TBI.…”

Section: Introductionmentioning

confidence: 99%

Diagnostics and prevention of sports-related traumatic brain injury complication

Shevelev,

Smolensky,

Petrova

et al. 2023

Vestn. Ross. univ. družby nar., Ser. Med.

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Sports-related traumatic brain injuries (TBI) accounts for up to 20 % of all injuries that are obtained by athletes and its incidence rises annually due to rise in population involving in sports, growing popularity of extreme sports and high level of motivation to achieve record results among young sportsmen. The aim of the review is to present the potential benefits of using microwave radiothermometry and craniocerebral hypothermia technologies in sports-related TBI. The review considers most common form of traumatic brain injury in athletes - mild TBI, which in turn can provoke a wide range of complications and negative consequences in near and delayed periods after the injury. The main shortcomings of programs for complication prevention in treatment and rehabilitation of athletes after TBI are considered, which do not take into account the peculiarities of injury mechanisms, its significant differences from household, road or criminal injuries with brain damage. Lack of objective methods of instrumental diagnosis for injury severity is also described. In addition, pathophysiological component characteristics of sports TBI is accentuated: frequency of repetition, increasement of brain and body temperature, peripheral redistribution of blood flow and hypocapnia, which significantly affects cerebral blood flow. Based on the analysis of the available scientific literature, it is elicited that TBI is an independent cause of cerebral hyperthermia development, which significantly aggravates the consequences of the injury. Conclusions. The authors propose an innovative way to use microwave radiothermometry method as a diagnostic tool for sports-related TBI. In addition, the review highlights the main recommendations for complications prevention by using craniocerebral hypothermia technology, which reduces overall physical and cerebral hyperthermia, and augments the resistance of cerebral cortex neurons to hypoxia and trauma. However, the authors believe that the described approaches in sports medicine are not used purposefully due to lack of awareness of sports team doctors and coaches.

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“…Also known as the CCG technique based on lowering the temperature of the scalp in the craniocerebral region in combination with neck cooling in the area of projections of the carotid arteries [12]. It is also possible to selectively use CCH without cooling the neck, which has positively proven itself in the treatment of the most acute period of ischemic stroke and many diseases accompanied by cerebral and general hyperthermia (paroxysmal sympathetic hyperactivity syndrome, delirious and withdrawal syndromes, pyretic fever) [13]. Selective CCH does not affect basal body temperature and other homeostasis parameters with a heat removal session of up to 4 hours and is the best candidate for use in sports with light TBI.…”

Section: Introductionmentioning

confidence: 99%

Sports Cranio-Brain Injury. Diagnostics and Prevention of Complications

Shevelev¹,

Smolensky²,

Петрова³

et al. 2022

Preprint

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Sports traumatic brain injury (TBI) accounts for up to 20% of all sports injuries, and the number of cases is growing year by year due to an increase in the number of people involved in sports, the growing popularity of extreme and contact sports, as well as a high level of motivation to achieve record results. Mild TBI dominates, which can provoke the development of a very wide range of complications and negative consequences. In the programs for the prevention of complications and the rehabilitation of athletes after TBI, TBI features are not sufficiently considered, which significantly differ from household, road or criminal injuries. There are no instrumental methods for diagnosing the severity of the injury. Sports TBI is characterized by repeated frequent TBI, elevated body and brain temperature, peripheral redistribution of blood flow and hypocapnia, which significantly affect cerebral blood flow. Brain injury is an independent cause of the development of cerebral hyperthermia, which significantly worsens the consequences of TBI. To diagnose sports TBI, the method of microwave radiometry of the brain (MWR) can be used. For the prevention of complications, the technology of craniocerebral hypothermia (CCH), which allows for to reduce of physical general and cerebral hyperthermia, and increases the resistance of cerebral cortex neurons to hypoxia and trauma could be used However, these approaches in sports medicine are used sporadically, which, is due to the lack of awareness of coaches and doctors of sports teams. The purpose of the review is to present MWR and CCH in sports TBI.

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Craniocerebral hypothermia as a therapeutic treatment option for thermal balance disturbances in post-comatose patients

Cited by 4 publications

References 9 publications

Correction of Local Brain Temperature after Severe Brain Injury Using Hypothermia and Medical Microwave Radiometry (MWR) as Companion Diagnostics

Correction of Local Brain Temperature after Severe Brain Injury Using Hypothermia and Medical Microwave Radiometry (MWR) as Companion Diagnostics

Diagnostics and prevention of sports-related traumatic brain injury complication

Sports Cranio-Brain Injury. Diagnostics and Prevention of Complications

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