Letter to the Editor
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Jun 28, 2022; 14(6): 177-179
Published online Jun 28, 2022. doi: 10.4329/wjr.v14.i6.177
Comments on "Neonatal infratentorial subdural hematoma contributing to obstructive hydrocephalus in the setting of therapeutic cooling: A case report"
Ioannis Siasios, Aggeliki Fotiadou, Yulia Rud
Ioannis Siasios, Neurosurgery Department, Papageorgiou Hospital, Thessaloniki 56403, Greece
Aggeliki Fotiadou, Department of Neurology, General University Hospital of Alexandroupolis, Alexandroupoli 68100, Greece
Yulia Rud, Department of Anesthesiology, European Interbalkan Medical Center, Thessaloniki 57001, Greece
Author contributions: Siasios I and Fotiadou A, Rud Y designed research; Siasios I, Fotiadou A, Rud Y performed research; Siasios I, Fotiadou A and Rud Y analyzed data; Siasios I and Fotiadou A wrote the letter; and Siasios I, Fotiadou A and Rud Y revised the letter.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ioannis Siasios, MD, MSc, Neurosurgeon, Research Scientist, Department of Neurosurgery, Papageorgiou Hospital, Ring road of Thessaloniki, N. Efkarpia, Thessaloniki 56403, Greece. siasiosj@yahoo.gr
Received: February 5, 2022
Peer-review started: February 5, 2022
First decision: April 8, 2022
Revised: April 17, 2022
Accepted: May 28, 2022
Article in press: May 28, 2022
Published online: June 28, 2022
Abstract

Although therapeutic hypothermia (TH) contributes significantly in the treatment of hypoxic ischemic encephalopathy (HIE), it could result in devastating complications such as intracranial hemorrhages. Laboratory examinations for possible coagulation disorders and early brain imaging can detect all these cases that are amenable to aggravation of HIE after the initiation of TH.

Keywords: Therapeutic hypothermia, Hypoxic ischemic encephalopathy, Hemostatic disorders, Intracranial hemorrhage, Magnetic resonance imaging

Core Tip: It has not been yet elucidated if the initiation of therapeutic hypothermia (TH) contributes significantly to better outcomes in cases with already confirmed intracranial hemorrhage and hemostatic disorders. In such cases a close follow up with brain magnetic resonance imaging before and after the initiation of TH and repeated laboratory and clinical examinations may promptly identify neonates requiring emergent neurosurgical intervention.