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Related Experiment Videos

Relation between brain oxygen metabolism and temperature gradient between brain and bladder.

A Sakurai1, K Kinoshita, T Atsumi

  • 1Department of Emergency and Critical Care Medicine, Nihon University School of Medicine, Tokyo, Japan. sakurai@med.nihon-u.ac.jp

Acta Neurochirurgica. Supplement
|February 3, 2004
PubMed
Summary

Brain temperature fluctuations after severe brain injury indicate potential brain ischemia. A higher temperature gradient correlated with lower jugular venous oxygen saturation, suggesting impaired brain perfusion.

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Area of Science:

  • Neuroscience
  • Critical Care Medicine
  • Physiology

Background:

  • Brain temperature typically exceeds systemic core temperature.
  • Recent studies noted fluctuations in the brain-core temperature gradient after severe brain insults.
  • The clinical significance of these temperature gradient changes remains unclear.

Purpose of the Study:

  • To investigate the fluctuations of the temperature gradient between brain and core body temperatures following severe brain injury.
  • To determine the relationship between temperature gradient, cerebral perfusion pressure (CPP), and jugular venous oxygen saturation (SjO2) in brain-injured patients.

Main Methods:

  • Measured temperature gradient (brain minus bladder temperature) in 11 severe brain injury patients (subarachnoid hemorrhage, cerebral hemorrhage, traumatic brain injury).

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  • Simultaneously recorded cerebral perfusion pressure (CPP) and jugular venous oxygen saturation (SjO2).
  • Analyzed data from 125 measurement points.
  • Main Results:

    • The average temperature gradient was 0.29 ± 0.285°C when CPP was >50 mmHg.
    • A significant inverse correlation was found between SjO2 and the temperature gradient (r = 0.472; P < 0.0001) at CPP >50 mmHg.
    • Temperature gradients showed a tendency to increase and then decrease when CPP <50 mmHg.

    Conclusions:

    • Increased temperature gradient is significantly inversely correlated with SjO2 in severe brain injury patients with CPP >50 mmHg.
    • Fluctuations in the brain-core temperature gradient may serve as an indicator of brain ischemia in critical conditions.
    • Monitoring the temperature gradient could offer insights into brain perfusion status.