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Near drowning in frigid water: A case study of a 31-year-old woman

Published online by Cambridge University Press:  26 February 2009

Helena C. G. Huckabee ,
Paul L. Craig  and
J. Michael Williams
Helena C. G. Huckabee
Affiliation:
University of Alaska, Anchorage
Paul L. Craig
Affiliation:
Providence Hospital, Anchorage
J. Michael Williams
Affiliation:
Hahnemann University, Philadelphia
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Abstract

A 31-yr-old woman demonstrated intact neuropsychological functioning after being submerged for at least 30 minutes in icy cold water. Following submersion, the patient received CPR for approximately 1 hr. Eight hours after submersion, the patient's temperature was 31°C (87°F). She remained nonresponsive for 2 days after the accident. Extensive neuropsychological testing was completed 3 mo after the accident with no objective or subjective deficits evidenced. This case of hypothermically mediated neuroprotection from anoxia in an adult supports the need for further research on the putative neurophysiological mechanisms invoked and the potential for application of clinically induced hypothermia in the acute management of other types of cerebral insults. (JINS, 1996, 2, 256–260.)

Keywords

HypothermiaNear-drowningAnoxiaNeuroprotection
Type
Case Study
Information
Journal of the International Neuropsychological Society , Volume 2 , Issue 3 , May 1996 , pp. 256 - 260
Copyright
Copyright © The International Neuropsychological Society 1996

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References

REFERENCES

Allison, M. (1993). Metabolic effects of brain injury. Headlines, 4, 3–8.Google Scholar
Ashwal, S., Schneider, S., Tomasi, L., & Thompson, J. (1990). Prognostic implications of hyperglycemia and reduced cerebral blood flow in childhood near-drowning. Neurology, 40, 820–823.CrossRefGoogle ScholarPubMed
Barona, A., Reynolds, C.R., & Chastain, R. (1984). A demographically based index of premorbid intelligence for the WAIS-R. Journal of Consulting and Clinical Psychology, 52, 885–887.CrossRefGoogle Scholar
Beyda, D. H. (1991). Pathophysiology of near-drowning and treatment of the child with a submersion incident. Critical Care Nursing Clinics of North America, 3, 273–280.CrossRefGoogle ScholarPubMed
Biggart, M.J. & Bohn, D.J. (1990). Effect of hypothermia and cardiac arrest on outcome of near-drowning accidents in children. The Journal of Pediatrics, 117, 179–183.CrossRefGoogle ScholarPubMed
Busto, R., Globus, M.Y.T., Dietrich, W.D., Martinez, E., Valdes, I., & Ginsberg, M.D. (1989). Effect of mild hypothermia on ischemia-induced release of neurotransmitters and free fatty acids in rat brain. Stroke, 20, 904–910.CrossRefGoogle ScholarPubMed
Clasen, R.A., Pandolfi, S., Russell, J., Stuart, D., & Hass, G.M. (1968). Hypothermia and hypotension in experimental cerebral edema. Archives of Neurology, 19, 472–486.CrossRefGoogle ScholarPubMed
Connors, R., Frewen, T.C., Kissoon, N., Kronick, J., Sommerauer, J., Lee, R., Singh, N., Tiffin, N., & Brown, T. (1992). Relationship of cross-brain oxygen content difference, cerebral blood flow, and metabolic rate to neurologic outcome after near-drowning. The Journal of Pediatrics, 121, 839–844.CrossRefGoogle ScholarPubMed
Edwards, N.D., Timmins, A.C., Randalls, G.A.R., Simcock, M., & Simcock, A.D. (1990). Survival in adults after cardiac arrest due to drowning. Intensive Care Medicine, 16, 336–337.CrossRefGoogle ScholarPubMed
Hagerdal, M., Harp, J., Nilsson, L., & Siesjo, B.K. (1974). The effect of induced hypothermia upon oxygen consumption in the rat brain. Journal of Neurochemistry, 24, 311–316.CrossRefGoogle Scholar
Heaton, R.K., Grant, I., & Matthews, C.G. (1991). Comprehensive norms for an expanded Halstead-Reitan battery. Odessa, FL: Psychological Assessment Resources.Google Scholar
Newfield, P. & Cottrell, J.E. (1981). Neurologic-pharmacologic considerations of brain protection and resuscitation. In Grenvik, A. & Safar, P (Eds.), Brain failure and resuscitation (pp. 221–237). Edinburgh: Churchill Livingstone.Google Scholar
Newman, S., Pugsley, W., Klinger, L., Harrison, M., Aveling, W., & Treasure, T. (1989). Neuropsychological consequences of circulatory arrest with hypothermia-A case report. Journal of Clinical and Experimental Neuropsychology, 11, 529–538.CrossRefGoogle ScholarPubMed
Okada, M. & Nishimura, F. (1990). Respiratory function and acid-base status in accidental hypothermia assessed by arterial blood gas analysis. Japanese Journal of Medicine, 29, 500–505.CrossRefGoogle ScholarPubMed
Spreen, O. & Strauss, E. (1991). A compendium of neuropsychological tests. New York: Oxford University Press.Google Scholar
Strachan, R.D., Whittle, I.R., & Miller, J.D. (1989). Hypothermia and severe head injury. Brain Injury, 3, 51–55.CrossRefGoogle ScholarPubMed