Hypothermia in Neurosurgery: Symposium Organized by P. E. Maspes at the Second European Congress of Neurosurgery Rome, April 18–20, 1963 (Acta Neurochirurgica Supplement Book 13)

Hypothermia was first applied to the human in 1940 by Smith and Fay in an attempt to affect the growth of malignant tumours, and found its most important application firstly in open cardiac surgery and latterly in neurosurgery. The first results regarding the use of hypothermia in neurosurgery were reported at the First Inter­ national Congress of Neurological Sciences held in Brussels in 1957. The same subject was again considered at the annual meeting of the Societe de Neurochirurgie de Langue Franl}aise held in Montpellier in'1962. When I was charged with the task of organizing the Symposium at the Second European Congress of Neurosurgery, I thought it ad­ visable to put forward again the problem of the use of hypothermia in neurosurgery. Though this procedure had rapidly become popular and a mass of publications from the most important neurosurgical centres of the world had appeared, many problems remained un­ solved, and in particular those related to the choice of cases to be treated, the usefulness of the procedure and its possible dangers. Front Matter....Pages i-iv General Physiology of Hypothermia....Pages 1-10 Pathophysiology of the Central Nervous System During Hypothermia....Pages 11-22 Neurological Observations During Hypothermia....Pages 23-49 Changes in the Blood Clotting Mechanism During Moderate Hypothermia for Neurosurgical Operations....Pages 50-70 Methods of Moderate Hypothermia in Neuroanesthesia. Clinical Observations on Physiological and Metabolic Changes....Pages 71-119 Moderate Hypothermia in Neurosurgical Operations Indications and Results....Pages 120-138 Physiopathology, Methods and Clinical Results of Selective Brain Cooling....Pages 139-158 Profound Hypothermia and Total Circulatory Arrest in Neurosurgery: Methods, Results, and Physiologic Effects....Pages 159-174 Moderate Hypothermia in Cranio-Cerebral Trauma....Pages 175-186 Final Remarks on the Clinical Use of Hypothermia in Neurosurgery....Pages 187-190