From profound hypothermia to malignant hyperpyrexia: a case report of biphasic thermoregulatory crisis following acute high cervical spinal cord injury

Nimasha Ekanayaka, Shamila De Silva · 2026

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Description

Nimasha Ekanayaka and colleagues report a 2026 case of wild temperature swings after a high neck spinal cord injury. Temperature control is a known yet underreported danger of such injuries, since damaged autonomic nerves can drive the body from deep cold to dangerous heat within hours.

A 55-year-old man found unconscious in rain arrived at 31 degrees with slow pulse and low blood pressure, was rewarmed and stabilized, then spiked to 42.2 degrees without sweating despite cooling, ending in cardiac arrest. The case urges continuous temperature monitoring after high cervical cord injury, since neurogenic fever can kill fast.

Catalog record

CREATORNimasha Ekanayaka, Shamila De Silva
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE24 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13419303

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