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DOI: 10.1055/s-0040-1709824
A CASE REPORT OF HEAT STROKE : AN ICEBERG
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Abstract
Heat stroke was first recognized by the Romans in 24 BC. But it took until 1946 for it to be shown that heat stroke could lead to multiorgan damage with hemorrhage and necrosis in the lungs, heart, liver, kidneys, brain and gut with a 10% to 50% mortality rate. Patients may present with neurological impairment of varying degrees and duration, including delirium, lethargy, coma and seizures, Neurological damage is presumably attributable to metabolic disarray, cerebral edema or ischemia. Here we are presenting a case of heat stroke, with coma due to neurological involvement who recovered functionally fully though with some residual damage revealed in computerized tomogram of the brain after conservative management of heat stroke.
Publication History
Article published online:
22 April 2020
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References
- 1 Contenau G. Everyday Life in Babylon and Assyria.New York, St. Martin's Press;1954.
- 2 Sharma HS. Heat-related deaths are largely due to brain damage. Indian J Med Res 121, 2005;621-3.
- 3 Sharma HS, Westman J. Brain functions in hot environment.Progress in Brain Research, 115, Elsevier, Amsterdam;1998 p.1-516.
- 4 McLaughlin CT, Kane AG, Auber AE: MR imaging of heat stroke: external capsule and thalamic T1 shortening and cerebellar injury. AJNR Am J Neuroradiol 2003, 24:1372-5.
- 5 Albukrek D, Bakon M, Moran DS, Faibel M, Epstein Y: Heat-strokeinduced cerebellar atrophy: clinical course, CT and MRI findings. Neuro-radiology 1997;39:195–7.
- 6 Szold O, Reider-Groswasser II, Ben Abraham R, Aviram G, Segev Y, Biderman P, Sorkine P:Gray-white matter discrimination: a possible marker for brain damage in heatstroke? Eur J Radiol 2002;43:1–5.
- 7 Kalita J, Misra UK. Neurophysiological studies in a patient with heat stroke.J Neurol 2001;248:993–5.
- 8 Grogan H and Hopkins PM, Heat stroke: implications for critical care and anaesthesia, Br J Anaesth 2002;88:700-7.
- 9 Bouchama A, Knochel JP. Medical progress: heat stroke.N Engl J Med 2002;346:1978–88.
- 10 Yarbrough B, Vicario S. Heat illness. In: Marx J, ed. Rosen's Emergency Medicine. Concepts and Clinical Practice. 5th ed. St Louis, Mo: Mosby; 2002:1997–2009.
- 11 Dematte JE, O'Mara K, Buescher J, Whitney CG, Forsythe S, McNamee T, et al. Near-Fatal Heat Stroke during the 1995 Heat Wave in Chicago. Ann Intern Med. 1998;129:173-81.
- 12 Slovis CM. Features and Outcomes of Classical Heat Stroke. Ann Intern Med. 1999;130:614.
- 13 Guerrero WR, Varghese S, Savitz S, Wu TC. : Heat stress presenting with encephalopathy and MRI findings of diffuse cerebral injury and hemorrhage. BMC Neurol. 2013;13:63.
- 14 Satyendra Kumar Sonkar, Deepika Soni, Gyanendra Kumar Sonkar, Heat stroke presented with disseminated intravascular coagulation and bilateral intracerebral bleed. BMJ Case Reports 2012;7-27.