gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Article

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Fever does not raise intracranial pressure

Fieber verursacht keinen erhöhten Hirndruck

Meeting Abstract

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  • corresponding author G. Huschak - Department of Anesthesiology, Bergmannstrost Hospital, Halle/Saale
  • S. Eisenmann - Department of Neurosurgery, Bergmannstrost Hospital, Halle/Saale
  • K. zur Nieden - Department of Anesthesiology, Bergmannstrost Hospital, Halle/Saale
  • S. Bone - Department of Neurosurgery, Bergmannstrost Hospital, Halle/Saale
  • H. J. Meisel - Department of Neurosurgery, Bergmannstrost Hospital, Halle/Saale
  • T. Hoell - Department of Neurosurgery, Bergmannstrost Hospital, Halle/Saale

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. DocP054

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgnc2005/05dgnc0322.shtml

Published: May 4, 2005

© 2005 Huschak et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Objective

Clinical observations led to the believe that fever and high brain temperature may elevate ICP. The presented data demonstrate with >40.000 single measurements that brain/body temperature and ICP values do not correlate.

Methods

In 32 consecutive neurosurgical patients brain temp., core temp. and ICP were recorded continuously with a 5 min interval. Brain temperature sensor: combined ICP/temperature probe (Raumedic®), Core temperature sensor: urinary catheter with temperature probe (Rüsch®). Combined sampling error: <0.13 °C. The ICP/temperature probes were implanted 3 cm deep into the frontal parenchyma. Design: prospective, non randomized, open labeled.

Results

No correlation between ICP and brain temperature could be observed (re=0.07, p<0.01). The mean brain temperature is 0.3°C higher than the core temperature, p<0.001. Single patients with meningitis/encephalitis displayed an early increase of the brain temperature without elevated body temperature.

Conclusions

Raise and fall of ICP is not influenced by the body/brain temperature. The clinical meaning of this observation is that antipyretic therapy will not contribute significantly to ICP management.