Skip to main content
Top
Published in: Critical Care 1/2016

Open Access 01-12-2016 | Review

The neurological and cognitive consequences of hyperthermia

Authors: Edward James Walter, Mike Carraretto

Published in: Critical Care | Issue 1/2016

Login to get access

Abstract

An elevated temperature has many aetiologies, both infective and non-infective, and while the fever of sepsis probably confers benefit, there is increasing evidence that the central nervous system is particularly vulnerable to damage from hyperthermia. A single episode of hyperthermia may cause short-term neurological and cognitive dysfunction, which may be prolonged or become permanent. The cerebellum is particularly intolerant to the effects of heat. Hyperthermia in the presence of acute brain injury worsens outcome. The thermotoxicity involved occurs via cellular, local, and systemic mechanisms. This article reviews both the cognitive and neurological consequences and examines the mechanisms of cerebral damage caused by high temperature.
Literature
1.
go back to reference Lee BH, Inui D, Suh GY, et al. Association of body temperature and antipyretic treatments with mortality of critically ill patients with and without sepsis: multi-centered prospective observational study. Crit Care. 2012;16(1):R33.CrossRefPubMedPubMedCentral Lee BH, Inui D, Suh GY, et al. Association of body temperature and antipyretic treatments with mortality of critically ill patients with and without sepsis: multi-centered prospective observational study. Crit Care. 2012;16(1):R33.CrossRefPubMedPubMedCentral
2.
go back to reference Pease S, Bouadma L, Kermarrec N, et al. Early organ dysfunction course, cooling time and outcome in classic heatstroke. Intens Care Med. 2009;35(8):1454–8.CrossRef Pease S, Bouadma L, Kermarrec N, et al. Early organ dysfunction course, cooling time and outcome in classic heatstroke. Intens Care Med. 2009;35(8):1454–8.CrossRef
3.
go back to reference Vicario SJ, Okabajue R, Haltom T. Rapid cooling in classic heatstroke: effect on mortality rates. Am J Emerg Med. 1986;4:394–8.CrossRefPubMed Vicario SJ, Okabajue R, Haltom T. Rapid cooling in classic heatstroke: effect on mortality rates. Am J Emerg Med. 1986;4:394–8.CrossRefPubMed
4.
go back to reference Jimenez-Mejıas ME, Montano Dıaz M, Villalonga J, Bollain Tienda E, Lopez Pardo F, Pineda JA, et al. Classical heatstroke in Spain. Analysis of a series 78 cases. Med Clin (Barc). 1990;94(48):1–486. Jimenez-Mejıas ME, Montano Dıaz M, Villalonga J, Bollain Tienda E, Lopez Pardo F, Pineda JA, et al. Classical heatstroke in Spain. Analysis of a series 78 cases. Med Clin (Barc). 1990;94(48):1–486.
5.
go back to reference Jarcho S. A Roman experience with heat stroke in 24BC. Bull N Y Acad Med. 1967;43:767–8. Jarcho S. A Roman experience with heat stroke in 24BC. Bull N Y Acad Med. 1967;43:767–8.
6.
7.
go back to reference Buckner RL. The cerebellum and cognitive function: 25 years of insight from anatomy and neuroimaging. Neuron. 2013;80(3):807–15.CrossRefPubMed Buckner RL. The cerebellum and cognitive function: 25 years of insight from anatomy and neuroimaging. Neuron. 2013;80(3):807–15.CrossRefPubMed
8.
go back to reference Sun G, Yang X, Jiang Q, Liu K, Li B, Li L, et al. Hyperthermia impairs the executive function using the Attention Network Test. Int J Hyperther. 2012;28(7):621–6.CrossRef Sun G, Yang X, Jiang Q, Liu K, Li B, Li L, et al. Hyperthermia impairs the executive function using the Attention Network Test. Int J Hyperther. 2012;28(7):621–6.CrossRef
9.
10.
go back to reference Sun G, Li L, Li M, Jiang Q. Hyperthermia impaired pre-attentive processing: an auditory MMN study. Neurosci Lett. 2011;502(2):94–8.CrossRefPubMed Sun G, Li L, Li M, Jiang Q. Hyperthermia impaired pre-attentive processing: an auditory MMN study. Neurosci Lett. 2011;502(2):94–8.CrossRefPubMed
11.
go back to reference Gaoua N, Racinais S, Grantham J, El Massioui F. Alterations in cognitive performance during passive hyperthermia are task dependent. Int J Hyperther. 2011;27(1):1–9.CrossRef Gaoua N, Racinais S, Grantham J, El Massioui F. Alterations in cognitive performance during passive hyperthermia are task dependent. Int J Hyperther. 2011;27(1):1–9.CrossRef
13.
go back to reference Morley J, Beauchamp G, Suyama J, Guyette FX, Reis SE, Callaway CW, et al. Cognitive function following treadmill exercise in thermal protective clothing. Eur J Appl Physiol. 2012;112(5):1733–40.CrossRefPubMed Morley J, Beauchamp G, Suyama J, Guyette FX, Reis SE, Callaway CW, et al. Cognitive function following treadmill exercise in thermal protective clothing. Eur J Appl Physiol. 2012;112(5):1733–40.CrossRefPubMed
14.
go back to reference Sun G, Qian S, Jiang Q, Liu K, Li B, Li M, et al. Hyperthermia-induced disruption of functional connectivity in the human brain network. PLoS One. 2013;8(4), e61157.CrossRefPubMedPubMedCentral Sun G, Qian S, Jiang Q, Liu K, Li B, Li M, et al. Hyperthermia-induced disruption of functional connectivity in the human brain network. PLoS One. 2013;8(4), e61157.CrossRefPubMedPubMedCentral
15.
go back to reference Jiang Q, Yang X, Liu K, Li B, Li L, Li M, et al. Hyperthermia impaired human visual short-term memory: an fMRI study. Int J Hyperther. 2013;29(3):219–24.CrossRef Jiang Q, Yang X, Liu K, Li B, Li L, Li M, et al. Hyperthermia impaired human visual short-term memory: an fMRI study. Int J Hyperther. 2013;29(3):219–24.CrossRef
16.
go back to reference Schlader ZJ, Gagnon D, Adams A, Rivas E, Cullum CM, Crandall CG. Cognitive and perceptual responses during passive heat stress in younger and older adults. Am J Physiol Regul Integr Comp Physiol. 2015;308(10):R847–54.CrossRefPubMedPubMedCentral Schlader ZJ, Gagnon D, Adams A, Rivas E, Cullum CM, Crandall CG. Cognitive and perceptual responses during passive heat stress in younger and older adults. Am J Physiol Regul Integr Comp Physiol. 2015;308(10):R847–54.CrossRefPubMedPubMedCentral
17.
go back to reference Shibolet S, Coll R, Gilat T, Sohar E. Heatstroke: its clinical picture and mechanism in 36 cases. Q J Med. 1967;36(144):525–48.PubMed Shibolet S, Coll R, Gilat T, Sohar E. Heatstroke: its clinical picture and mechanism in 36 cases. Q J Med. 1967;36(144):525–48.PubMed
18.
go back to reference Laxe S, Zuniga-Inestroza L, Bernabeu-Guitart M. Neurological manifestations and their functional impact in subjects who have suffered heatstroke [English; Spanish] Manifestaciones neurologicas y su impacto funcional en sujetos que han padecido un golpe de calor. Rev Neurol. 2013;56(1):19–24.PubMed Laxe S, Zuniga-Inestroza L, Bernabeu-Guitart M. Neurological manifestations and their functional impact in subjects who have suffered heatstroke [English; Spanish] Manifestaciones neurologicas y su impacto funcional en sujetos que han padecido un golpe de calor. Rev Neurol. 2013;56(1):19–24.PubMed
19.
go back to reference Guerrero WR, Varghese S, Savitz S, Wu TC. Heat stress presenting with encephalopathy and MRI findings of diffuse cerebral injury and haemorrhage. BMC Neurol. 2013;13:63.CrossRefPubMedPubMedCentral Guerrero WR, Varghese S, Savitz S, Wu TC. Heat stress presenting with encephalopathy and MRI findings of diffuse cerebral injury and haemorrhage. BMC Neurol. 2013;13:63.CrossRefPubMedPubMedCentral
20.
go back to reference Labuda A, Cullen N. Brain injury following neuroleptic malignant syndrome: case report and review of the literature. Brain Inj. 2006;20:775–8.CrossRefPubMed Labuda A, Cullen N. Brain injury following neuroleptic malignant syndrome: case report and review of the literature. Brain Inj. 2006;20:775–8.CrossRefPubMed
21.
go back to reference Adityanjee, Sajatovic M, Munshi K. Neuropsychiatric sequelae of neuroleptic malignant syndrome. Clin Neuropharmacol. 2005;28(4):197–204.CrossRefPubMed Adityanjee, Sajatovic M, Munshi K. Neuropsychiatric sequelae of neuroleptic malignant syndrome. Clin Neuropharmacol. 2005;28(4):197–204.CrossRefPubMed
22.
go back to reference Yaqub BA. Neurologic manifestations of heatstroke at the Mecca pilgrimage. Neurology. 1987;37(6):1004–6.CrossRefPubMed Yaqub BA. Neurologic manifestations of heatstroke at the Mecca pilgrimage. Neurology. 1987;37(6):1004–6.CrossRefPubMed
23.
go back to reference 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(3):173–81.CrossRefPubMed 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(3):173–81.CrossRefPubMed
24.
go back to reference Forrest KM, Foulds N, Sutherland P, Pappachan J, Parkin N, Yau M, et al. Marked cerebellar involvement in anaesthesia-induced malignant hyperpyrexia due to a heterozygous RYR1 mutation. Dev Med Child Neurol. 2013;55(62):0012–1622. Forrest KM, Foulds N, Sutherland P, Pappachan J, Parkin N, Yau M, et al. Marked cerebellar involvement in anaesthesia-induced malignant hyperpyrexia due to a heterozygous RYR1 mutation. Dev Med Child Neurol. 2013;55(62):0012–1622.
25.
go back to reference Megarbane B, Resiere D, Shabafrouz K, Duthoit G, Delahaye A, Delerme S, et al. Descriptive study of the patients admitted to an intensive care unit during the heat wave of August 2003 in France. Presse Med. 2003;32(36):1690–8.PubMed Megarbane B, Resiere D, Shabafrouz K, Duthoit G, Delahaye A, Delerme S, et al. Descriptive study of the patients admitted to an intensive care unit during the heat wave of August 2003 in France. Presse Med. 2003;32(36):1690–8.PubMed
26.
go back to reference Lee S, Merriam A, Kim T-S, et al. Cerebellar degeneration in neuroleptic malignant syndrome: neuropathologic findings and review of the literature concerning heat-related nervous syndrome injury. J Neurol Neurosurg Psychiatry. 1989;52:387–91.CrossRefPubMedPubMedCentral Lee S, Merriam A, Kim T-S, et al. Cerebellar degeneration in neuroleptic malignant syndrome: neuropathologic findings and review of the literature concerning heat-related nervous syndrome injury. J Neurol Neurosurg Psychiatry. 1989;52:387–91.CrossRefPubMedPubMedCentral
27.
go back to reference Brown T. Clozapine, neuroleptic malignant syndrome, and pancerebellar syndrome. Psychosomatics. 1999;40:518–20.CrossRefPubMed Brown T. Clozapine, neuroleptic malignant syndrome, and pancerebellar syndrome. Psychosomatics. 1999;40:518–20.CrossRefPubMed
28.
29.
go back to reference Manto M, Goldman S, Hildebrand J. Cerebellar gait ataxia following neuroleptic malignant syndrome. J Neurol. 1996;243:101–2.CrossRefPubMed Manto M, Goldman S, Hildebrand J. Cerebellar gait ataxia following neuroleptic malignant syndrome. J Neurol. 1996;243:101–2.CrossRefPubMed
30.
go back to reference Slettedal JK, Nilssen DO, Magelssen M, et al. Brain pathology in fatal serotonin syndrome: presentation of two cases. Neuropathology. 2011;31:265–70.CrossRefPubMed Slettedal JK, Nilssen DO, Magelssen M, et al. Brain pathology in fatal serotonin syndrome: presentation of two cases. Neuropathology. 2011;31:265–70.CrossRefPubMed
31.
go back to reference Zhang H, Cao J, Wu J, Deng H. Unusual heat stroke caused by herbal therapy of traditional Chinese medicine. Brain Inj. 2014;28(5–6):523. Zhang H, Cao J, Wu J, Deng H. Unusual heat stroke caused by herbal therapy of traditional Chinese medicine. Brain Inj. 2014;28(5–6):523.
32.
go back to reference D D, El Siddig A, Kamran S, Kamha AA, Al Omary IYM, Zalabany HA. Downbeat nystagmus following classical heat stroke. Clin Neurol Neurosur. 2005;108(1):102–4 D D, El Siddig A, Kamran S, Kamha AA, Al Omary IYM, Zalabany HA. Downbeat nystagmus following classical heat stroke. Clin Neurol Neurosur. 2005;108(1):102–4
33.
go back to reference Albukrek D, Bakon M, Moran DS, Faibel M, Epstein Y. Heat-stroke-induced cerebellar atrophy: clinical course, CT and MRI findings. Neuroradiology. 1997;39(3):195–7.CrossRefPubMed Albukrek D, Bakon M, Moran DS, Faibel M, Epstein Y. Heat-stroke-induced cerebellar atrophy: clinical course, CT and MRI findings. Neuroradiology. 1997;39(3):195–7.CrossRefPubMed
34.
go back to reference Biary N, Madkour MM, Sharif H. Post-heatstroke parkinsonism and cerebellar dysfunction. Clin Neurol Neurosur. 1995;97(1):55–7.CrossRef Biary N, Madkour MM, Sharif H. Post-heatstroke parkinsonism and cerebellar dysfunction. Clin Neurol Neurosur. 1995;97(1):55–7.CrossRef
35.
go back to reference Manto M, Topka H. Reversible cerebellar gait ataxia with postural tremor during episodes of high pyrexia. Clin Neurol Neurosurg. 1996;98:227–30.CrossRefPubMed Manto M, Topka H. Reversible cerebellar gait ataxia with postural tremor during episodes of high pyrexia. Clin Neurol Neurosurg. 1996;98:227–30.CrossRefPubMed
36.
go back to reference Rav-Acha M, Shuvy M, Hagag S, Gomori M, Biran I. Unique persistent neurological sequelae of heat stroke. Mil Med. 2007;172(6):603–6.CrossRefPubMed Rav-Acha M, Shuvy M, Hagag S, Gomori M, Biran I. Unique persistent neurological sequelae of heat stroke. Mil Med. 2007;172(6):603–6.CrossRefPubMed
37.
go back to reference Li J, Zhang X, Wang B, Geng J. MRI findings in human brain after heat stroke. J Nat Sci. 2015;1(2), e42. Li J, Zhang X, Wang B, Geng J. MRI findings in human brain after heat stroke. J Nat Sci. 2015;1(2), e42.
38.
go back to reference Lyons JL, Cohen AB. Selective cerebellar and basal ganglia injury in neuroleptic malignant syndrome. J Neuroimaging. 2013;23(2):240–1.CrossRefPubMed Lyons JL, Cohen AB. Selective cerebellar and basal ganglia injury in neuroleptic malignant syndrome. J Neuroimaging. 2013;23(2):240–1.CrossRefPubMed
39.
go back to reference Kuzume D, Inoue S, Takamatsu M, Sajima K, Kon-no Y, Yamasaki M. A case of heat stroke showing abnormal diffuse high intensity of the cerebral and cerebellar cortices in diffusion weighted image. Rinsho Shinkeigaku. 2015;55(11):833–9.CrossRefPubMed Kuzume D, Inoue S, Takamatsu M, Sajima K, Kon-no Y, Yamasaki M. A case of heat stroke showing abnormal diffuse high intensity of the cerebral and cerebellar cortices in diffusion weighted image. Rinsho Shinkeigaku. 2015;55(11):833–9.CrossRefPubMed
40.
go back to reference Stocchetti N, Rossi S, Zanier ER, Colombo A, Beretta L, Citerio G. Pyrexia in head-injured patients admitted to intensive care. Intens Car Med. 2002;28(11):1555–62.CrossRef Stocchetti N, Rossi S, Zanier ER, Colombo A, Beretta L, Citerio G. Pyrexia in head-injured patients admitted to intensive care. Intens Car Med. 2002;28(11):1555–62.CrossRef
41.
go back to reference Todd MM, Hindman BJ, Clarke WR. Perioperative fever and outcome in surgical patients with aneurysmal subarachnoid haemorrhage. Neurosurgery. 2009;64(5):897–908.CrossRefPubMed Todd MM, Hindman BJ, Clarke WR. Perioperative fever and outcome in surgical patients with aneurysmal subarachnoid haemorrhage. Neurosurgery. 2009;64(5):897–908.CrossRefPubMed
42.
go back to reference Agrawal A, Timothy J, Thapa A. Neurogenic fever. Singapore Med J. 2007;48(6):492–4.PubMed Agrawal A, Timothy J, Thapa A. Neurogenic fever. Singapore Med J. 2007;48(6):492–4.PubMed
43.
go back to reference Reith J, Jorgensen HS, Pedersen PM, Nakayama H, Raaschou HO, Jeppesen LL, et al. Body temperature in acute stroke: relation to stroke severity, infarct size, mortality, and outcome. Lancet. 1996;347:422–5.CrossRefPubMed Reith J, Jorgensen HS, Pedersen PM, Nakayama H, Raaschou HO, Jeppesen LL, et al. Body temperature in acute stroke: relation to stroke severity, infarct size, mortality, and outcome. Lancet. 1996;347:422–5.CrossRefPubMed
44.
go back to reference Fernandez A, Schmidt JM, Claassen J, et al. Fever after subarachnoid hemorrhage: risk factors and impact on outcome. Neurology. 2007;68(13):1013–9.CrossRefPubMed Fernandez A, Schmidt JM, Claassen J, et al. Fever after subarachnoid hemorrhage: risk factors and impact on outcome. Neurology. 2007;68(13):1013–9.CrossRefPubMed
45.
go back to reference Azzimondi G, Bassein L, Nonino F, Fiorani L, Vignatelli L, Re G, et al. Fever in acute stroke worsens prognosis: a prospective study. Stroke. 1995;26:2040–3.CrossRefPubMed Azzimondi G, Bassein L, Nonino F, Fiorani L, Vignatelli L, Re G, et al. Fever in acute stroke worsens prognosis: a prospective study. Stroke. 1995;26:2040–3.CrossRefPubMed
46.
go back to reference Sacho RH, Vail A, Rainey T, King AT, Childs C. The effect of spontaneous alterations in brain temperature on outcome: a prospective observational cohort study in patients with severe traumatic brain injury. J Neurotrauma. 2010;27(12):2157–64.CrossRefPubMed Sacho RH, Vail A, Rainey T, King AT, Childs C. The effect of spontaneous alterations in brain temperature on outcome: a prospective observational cohort study in patients with severe traumatic brain injury. J Neurotrauma. 2010;27(12):2157–64.CrossRefPubMed
48.
go back to reference McLaughlin CT, Kane AG, Auber AE. MR Imaging of heat stroke: external capsule and thalamic T1 shortening and cerebellar injury. AJNR. 2003;24:1372–5.PubMed McLaughlin CT, Kane AG, Auber AE. MR Imaging of heat stroke: external capsule and thalamic T1 shortening and cerebellar injury. AJNR. 2003;24:1372–5.PubMed
49.
go back to reference Bazille C, Megarbane B, Bensimhon D, Lavergne-Slove A, Baglin AC, Loirat P, et al. Brain damage after heat stroke. J Neuropathol Exp Neurol. 2005;64(11):970–5.CrossRefPubMed Bazille C, Megarbane B, Bensimhon D, Lavergne-Slove A, Baglin AC, Loirat P, et al. Brain damage after heat stroke. J Neuropathol Exp Neurol. 2005;64(11):970–5.CrossRefPubMed
50.
go back to reference Malamud N, Haymaker W, Custer RP. Heat stroke, a clinicopathologic study of 125 fatal cases. Milit Surg. 1946;99:397–449. Malamud N, Haymaker W, Custer RP. Heat stroke, a clinicopathologic study of 125 fatal cases. Milit Surg. 1946;99:397–449.
51.
go back to reference White MG, Luca LE, Nonner D, Saleh O, Hu B, Barrett EF, et al. Cellular mechanisms of neuronal damage from hyperthermia. Prog Brain Res. 2007;162:347–71.CrossRefPubMed White MG, Luca LE, Nonner D, Saleh O, Hu B, Barrett EF, et al. Cellular mechanisms of neuronal damage from hyperthermia. Prog Brain Res. 2007;162:347–71.CrossRefPubMed
52.
53.
go back to reference Peng H, Sola A, Moore J, Wen T. Caspase inhibition by cardiotrophin-1 prevents neuronal death in vivo and in vitro. J Neurosci Res. 2010;88(5):1041–51.PubMed Peng H, Sola A, Moore J, Wen T. Caspase inhibition by cardiotrophin-1 prevents neuronal death in vivo and in vitro. J Neurosci Res. 2010;88(5):1041–51.PubMed
54.
go back to reference Khan VR, Brown IR. The effect of hyperthermia on the induction of cell death in brain, testis, and thymus of the adult and developing rat. Cell Stress Chaperon. 2002;7(1):73–90.CrossRef Khan VR, Brown IR. The effect of hyperthermia on the induction of cell death in brain, testis, and thymus of the adult and developing rat. Cell Stress Chaperon. 2002;7(1):73–90.CrossRef
55.
go back to reference Bellmann K, Charette SJ, Nadeau PJ, Poirier DJ, Loranger A, Landry J. The mechanism whereby heat shock induces apoptosis depends on the innate sensitivity of cells to stress. Cell Stress Chaperon. 2010;15(1):101–13.CrossRef Bellmann K, Charette SJ, Nadeau PJ, Poirier DJ, Loranger A, Landry J. The mechanism whereby heat shock induces apoptosis depends on the innate sensitivity of cells to stress. Cell Stress Chaperon. 2010;15(1):101–13.CrossRef
56.
go back to reference Castillo J, Dávalos A, Noya M. Aggravation of acute ischemic stroke by hyperthermia is related to an excitotoxic mechanism. Cerebrovasc Dis. 1999;9(1):22–7.CrossRefPubMed Castillo J, Dávalos A, Noya M. Aggravation of acute ischemic stroke by hyperthermia is related to an excitotoxic mechanism. Cerebrovasc Dis. 1999;9(1):22–7.CrossRefPubMed
57.
go back to reference Franklin TB, Krueger-Naug AM, Clarke DB, Arrigo AP, Currie RW. The role of heat shock proteins Hsp70 and Hsp27 in cellular protection of the central nervous system. Int JHyperther. 2005;21(5):379–92.CrossRef Franklin TB, Krueger-Naug AM, Clarke DB, Arrigo AP, Currie RW. The role of heat shock proteins Hsp70 and Hsp27 in cellular protection of the central nervous system. Int JHyperther. 2005;21(5):379–92.CrossRef
58.
go back to reference Multhoff G. Heat shock protein 70 (Hsp70): membrane location, export and immunological relevance. Methods. 2007;43(3):229–37.CrossRefPubMed Multhoff G. Heat shock protein 70 (Hsp70): membrane location, export and immunological relevance. Methods. 2007;43(3):229–37.CrossRefPubMed
59.
go back to reference Didelot C, Schmitt E, Brunet M, Maingret L, Parcellier A, Garrido C. Heat shock proteins: endogenous modulators of apoptotic cell death. Handb Exp Pharmacol. 2006;172:171–98.CrossRefPubMed Didelot C, Schmitt E, Brunet M, Maingret L, Parcellier A, Garrido C. Heat shock proteins: endogenous modulators of apoptotic cell death. Handb Exp Pharmacol. 2006;172:171–98.CrossRefPubMed
60.
go back to reference Li CW, Lin YF, Liu TT, Wang JY. Heme oxygenase-1 aggravates heat stress-induced neuronal injury and decreases autophagy in cerebellar Purkinje cells of rats. Exp Biol Med (Maywood). 2013;238(7):744–54.CrossRef Li CW, Lin YF, Liu TT, Wang JY. Heme oxygenase-1 aggravates heat stress-induced neuronal injury and decreases autophagy in cerebellar Purkinje cells of rats. Exp Biol Med (Maywood). 2013;238(7):744–54.CrossRef
61.
go back to reference Schiaffonati L, Maroni P, Bendinelli P, Tiberio L, Piccoletti R. Hyperthermia induces gene expression of heat shock protein 70 and phosphorylation of mitogen activated protein kinases in the rat cerebellum. Neurosci Lett. 2001;312(2):75–8.CrossRefPubMed Schiaffonati L, Maroni P, Bendinelli P, Tiberio L, Piccoletti R. Hyperthermia induces gene expression of heat shock protein 70 and phosphorylation of mitogen activated protein kinases in the rat cerebellum. Neurosci Lett. 2001;312(2):75–8.CrossRefPubMed
62.
go back to reference Xiong Y, Zhou H, Zhang L. Influences of hyperthermia-induced seizures on learning, memory and phosphorylative state of CaMKIIα in rat hippocampus. Brain Res. 2014;1557:190–200.CrossRefPubMed Xiong Y, Zhou H, Zhang L. Influences of hyperthermia-induced seizures on learning, memory and phosphorylative state of CaMKIIα in rat hippocampus. Brain Res. 2014;1557:190–200.CrossRefPubMed
63.
go back to reference Hashim IA, Al-Zeer A, Al-Shohaib S, Al-Ahwal M, Shenkin A. Cytokine changes in patients with heatstroke during pilgrimage to Makkah. Mediators Inflamm. 1997;6(2):135–9.CrossRefPubMedPubMedCentral Hashim IA, Al-Zeer A, Al-Shohaib S, Al-Ahwal M, Shenkin A. Cytokine changes in patients with heatstroke during pilgrimage to Makkah. Mediators Inflamm. 1997;6(2):135–9.CrossRefPubMedPubMedCentral
65.
go back to reference Goldstein LS, Dewhirst MW, Repacholi M, et al. Summary, conclusions and recommendations: adverse temperature levels in the human body. Int J Hyperther. 2003;19:373–84.CrossRef Goldstein LS, Dewhirst MW, Repacholi M, et al. Summary, conclusions and recommendations: adverse temperature levels in the human body. Int J Hyperther. 2003;19:373–84.CrossRef
66.
go back to reference Cremer OL, Kalkman CJ. Cerebral pathophysiology and clinical neurology of hyperthermia in humans. Prog Brain Res. 2007;162:153–69.CrossRefPubMed Cremer OL, Kalkman CJ. Cerebral pathophysiology and clinical neurology of hyperthermia in humans. Prog Brain Res. 2007;162:153–69.CrossRefPubMed
67.
go back to reference Busija DW, Leffler CW, Pourcyrous M. Hyperthermia increases cerebral metabolic rate and blood flow in neonatal pigs. Am J Physiol. 1988;255(2 Pt 2):H343–6.PubMed Busija DW, Leffler CW, Pourcyrous M. Hyperthermia increases cerebral metabolic rate and blood flow in neonatal pigs. Am J Physiol. 1988;255(2 Pt 2):H343–6.PubMed
68.
go back to reference Qian S, Jiang Q, Liu K, Li B, Li M, Li L, et al. Effects of short-term environmental hyperthermia on patterns of cerebral blood flow. Physiol Behav. 2014;128:99–107.CrossRefPubMed Qian S, Jiang Q, Liu K, Li B, Li M, Li L, et al. Effects of short-term environmental hyperthermia on patterns of cerebral blood flow. Physiol Behav. 2014;128:99–107.CrossRefPubMed
69.
go back to reference Cremer OL, Diephuis JC, van Soest H, Vaessen PH, Bruens MG, Hennis PJ, et al. Cerebral oxygen extraction and autoregulation during extracorporeal whole body hyperthermia in humans. Anesthesiol. 2004;100(5):1101–7.CrossRef Cremer OL, Diephuis JC, van Soest H, Vaessen PH, Bruens MG, Hennis PJ, et al. Cerebral oxygen extraction and autoregulation during extracorporeal whole body hyperthermia in humans. Anesthesiol. 2004;100(5):1101–7.CrossRef
70.
go back to reference Bynum G, Brown J, Dubose D, et al. Increased survival in experimental dog heatstroke after reduction of gut flora. Aviat Space Environ Med. 1979;50:816–9.PubMed Bynum G, Brown J, Dubose D, et al. Increased survival in experimental dog heatstroke after reduction of gut flora. Aviat Space Environ Med. 1979;50:816–9.PubMed
71.
go back to reference Hall DM, Buettner GR, Oberley LW, Xu L, Matthes RD, Gisolfi CV. Mechanisms of circulatory and intestinal barrier dysfunction during whole body hyperthermia. Am J Physiol Heart Circ Physiol. 2001;280:H509–21.PubMed Hall DM, Buettner GR, Oberley LW, Xu L, Matthes RD, Gisolfi CV. Mechanisms of circulatory and intestinal barrier dysfunction during whole body hyperthermia. Am J Physiol Heart Circ Physiol. 2001;280:H509–21.PubMed
72.
go back to reference Sharma HS, Sharma A. Nanoparticles aggravate heat stress induced cognitive deficits, blood–brain barrier disruption, edema formation and brain pathology. Prog Brain Res. 2007;162:245–73.CrossRefPubMed Sharma HS, Sharma A. Nanoparticles aggravate heat stress induced cognitive deficits, blood–brain barrier disruption, edema formation and brain pathology. Prog Brain Res. 2007;162:245–73.CrossRefPubMed
Metadata
Title
The neurological and cognitive consequences of hyperthermia
Authors
Edward James Walter
Mike Carraretto
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2016
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-016-1376-4

Other articles of this Issue 1/2016

Critical Care 1/2016 Go to the issue