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Thermoregulation. Part II : from basic neuroscience to clinical neurology / volume editor, Andrej A. Romanovsky [and four others].

Elsevier ScienceDirect eBook - Neuroscience and Psychology 2025 Available online

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Format:
Book
Contributor:
Romanovsky, Andrej A., editor.
Series:
Handbook of clinical neurology ; 3rd ser., v. 157.
Handbook of clinical neurology ; volume 157, 3rd series
Language:
English
Subjects (All):
Body temperature--Regulation.
Body temperature.
Neurosciences.
Neurology.
Physical Description:
1 online resource (452 pages) : illustrations (some color).
Edition:
1st ed.
Place of Publication:
Amsterdam : Elsevier, [2018]
Summary:
Thermoregulation, Part II: From Basic Neuroscience to Clinical Neurology, Volume 155, not only reviews how body temperature regulation changes in neurological diseases, but also how this aspect affects the course and outcomes of each disease.
Contents:
Front Cover
Thermoregulation: From basic Neuroscience to clinical neurology, Part II
Copyright
Handbook of Clinical Neurology 3rd Series
Foreword
Preface
Contributors
Contents of Part II
Contents of Part I
Section VI: Normal and abnormal body core and peripheral temperatures
Chapter 29: Body temperature and clinical thermometry
Introduction
What do we mean by body temperature?
The concept of body shell and core temperature
The body shell
Skin temperature and perception of thermal comfort
Core temperature
Clinical thermometry
Temperature measurement and monitoring
Techniques for skin temperature measurement
Techniques for core temperature measurement
Thermometer devices
Digital thermometers
Thermocouples
Thermistors
Infrared thermometry
Thermography
Thermography in fever and infection screening
Mass screening
Thermography and surgical site infection screening
MRS and imaging for absolute temperature measurement
Knowledge translation
Conclusion
References
Chapter 30: Brain temperature: from physiology and pharmacology to neuropathology
Physiologic brain temperature fluctuations: causes and mechanisms
Brain hyperthermia due to environmental heating, excessive bodily heat production, and insufficiency of heat dissipa
Changes in brain temperature induced by neuroactive drugs
Brain hypothermia associated with general anesthesia
Brain temperature effects of drugs of abuse: state and environmental modulation
State-dependent effects of cocaine
State-dependent effects of heroin
Pathologic brain hyperthermia induced by MDMA
Brain temperature as a factor reflecting neural activity and affecting brain structure and functions
Summary and human health perspectives
Acknowledgments
References.
Chapter 31: Heat exhaustion
Physiology of heat exchange
Cardiovascular responses during heat stress
Cardiac output, heart rate, and stroke volume
Right ventricular preload and pulmonary afterload
Left ventricular preload and afterload
Blood and blood volume during heat stress
Changes in organ blood volume
Blood coagulation and disseminated intravascular coagulation
Distribution of cardiac output and vascular changes
Splanchnic
Renal
Skin
Muscle
Brain
Pathophysiology
Inflammatory response during heat stress
Cytokines
Heat shock proteins
Heat stress in vulnerable populations
Children
Natural aging
Chronic disease
Type 2 diabetes
Hypertension
Cardiovascular disease
Aerobic fitness, heat acclimation, and hydration effects on tolerance during heat stress
Fitness
Heat acclimation/acclimatization
Hydration
Treatment
Prevention
Summary
Chapter 32: Heatstroke
Definition and epidemiology
Definitions
Epidemiology and risk factors
Pathogenesis
Thermoregulation
Normothermia
Thermoregulation during heat stress
Cellular stress response
Implications for pathogenesis
Heat cytotoxicity
Circulatory failure and ischemia-reperfusion injury
Alteration of innate immune response
Uncontrolled activation of coagulation
Clinical and metabolic manifestations
Clinical features
Metabolic features
Pathology
Diagnosis
Management
Prehospital management
In-hospital management
Physical cooling
Pharmacologic cooling
Treatment of complications
Outcome
Mortality
Neurologic morbidity
Key messages
Chapter 33: Accidental hypothermia
Epidemiology
Primary and secondary hypothermia
Cardiovascular system.
Central and peripheral nervous system
Respiratory system
Fluid shifts, electrolyte balance, and kidney function
Blood and coagulation parameters
Endocrine and metabolic responses
Laboratory evaluation
Diagnosis and staging
Core temperature measurement
Esophageal measurement
Epitympanic measurement
Rectal and bladder temperature measurement
Clinical symptoms
Rescue collapse and afterdrop
Out-of-hospital treatment
Nonextracorporeal rewarming
Extracorporeal rewarming
Coordination of the management of hypothermic patients
Prognosis
Chapter 34: Fever and hypothermia in systemic inflammation
Introduction11Abbreviations used in the chapter are listed at the end of the chapter before References section.
Thermoregulatory manifestations of clinical systemic inflammation
Phenomenology of thermoregulatory manifestations of systemic inflammation in experimental models
Body temperature responses to bacterial lipopolysaccharide
Autonomic and behavioral thermoeffectors of fever and hypothermia
Fever
Hypothermia
Pathogenesis of fever and hypothermia in systemic inflammation
Innate immune response
Pathogen recognition
Pyrogenic and cryogenic cytokines
Periphery-to-brain communication in systemic inflammation
Lipid mediators of the thermoregulatory responses to systemic inflammation
Biochemistry of lipid-derived mediators
Prostaglandin E2 as a mediator of fever
Eicosanoids in the mediation of hypothermia
The biologic value of fever and hypothermia
Thermoregulatory manifestations as a part of the sickness syndrome
Fever: a friend or a foe?
Hypothermia: friend or foe?
Chapter 35: Stress-induced hyperthermia and hypothermia
Introduction.
Many kinds of single stress induce transient, monophasic hyperthermia
Effects of repeated and chronic stress on body temperature
Long-lasting inescapable stress induces hypothermia
Mechanism of acute stress-induced hyperthermia
Mechanisms of hyperthermia during repeated/chronic stress
Conditioned hyperthermia
Enhanced hyperthermic response to a novel stress
Persistent low-grade hyperthermia and flattened diurnal Tc rhythm
Mechanism of long-lasting, inescapable stress-induced hypothermia
Modulating factors of stress-induced hyperthermia and hypothermia
Nature and severity of stressors
Individual factors
Species
Strain
Sex
Age
Pregnancy
Trait anxiety
Environmental factors
Time of day
Ambient temperature
Cold acclimation
Social factors
Early-life experiences
Early-life stress
Juvenile stress
Coping
Effects of psychologic stress on Tc in healthy humans
Hyperthermia
Modulation of brown adipose tissue activity by stress, stress hormones, and stress reduction in healthy human subjects
Psychogenic fever: pathologic manifestation of the psychologic stress-induced hyperthermic effect in humans
Psychogenic fever in patients with physical diseases
Treatment of psychogenic fever
Physiologic significance of stress-induced hyperthermia and hypothermia
Chapter 36: Body temperature regulation and drugs of abuse
Phenethylamine: general pharmacology
Phenethylamine-induced hyperthermia (PIH): The ``central triggers´´
Thermoregulatory effectors as the peripheral mediators of PIH
Uncoupling proteins
Thyroid hormone
Free fatty acids
Newly discovered thermogenic mechanisms
Vasoconstriction
Pharmacologic management of PIH
Chapter 37: Body temperature regulation and anesthesia
History
Normal thermoregulation
Autonomic thermoregulatory defenses
Sweating and vasodilatation
Shivering
Nonshivering thermogenesis and brown adipose tissue
Characteristics of autonomic thermoregulatory defense mechanisms
Anesthesia and thermoregulation
General anesthesia
Heat balance during anesthesia
Neuraxial anesthesia
Anesthesia and fever
Chapter 38: Malignant hyperthermia
Hypercarbia
Increase in heart rate
Temperature increase
Acidosis
Muscle features
Masseter spasm
Generalized muscle rigidity
Rhabdomyolysis
Variation in clinical features
Factors confounding diagnosis
Biochemistry and physiology of malignant hyperthermia
Background
Excitation-contraction coupling
RyR1 gating
RyR1 Regulation
Cytosolic calcium cycling
Ca2+ entry
Ca2+ dysregulation and malignant hyperthermia
Genetics of malignant hyperthermia
RYR1 gene
Locus heterogeneity
Further complexities in the genetics of MH
Translating research findings into diagnostic use
Identifying genetic variants pathogenic for malignant hyperthermia
When is a pathogenic RYR1 variant not relevant to malignant hyperthermia?
RYR1 versus non-RYR1-associated malignant hyperthermia
Searching for new genes implicated in malignant hyperthermia susceptibility
Conclusions
Chapter 39: Neuroleptic malignant syndrome and serotonin syndrome
Neuroleptic malignant syndrome
Clinical features and course
Risk factors
Our treatment approach
Serotonin syndrome
Treatment.
Our treatment approach.
Notes:
Includes bibliographical references and index.
Description based on online resource; title from PDF title page (ebrary, viewed December 3, 2018).
Description based on publisher supplied metadata and other sources.
ISBN:
0-444-64075-4
0-444-64074-6
OCLC:
1066741684

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