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Cited by 622

The DOI matches its Crossref record; 26 of the 26 references it cites were found in a registry or an index.

Dramatic neuronal rescue with prolonged selective head cooling after ischemia in fetal lambs.

Open access
Gunn, A J, Gunn, T R, de Haan, H H, Williams, C E, Gluckman, P D·1997·Journal of Clinical Investigation

Abstract

Hypothermia has been proposed as a neuroprotective strategy. However, short-term cooling after hypoxia-ischemia is effective only if started immediately during resuscitation. The aim of this study was to determine whether prolonged head cooling, delayed into the late postinsult period, improves outcome from severe ischemia. Unanesthetized near term fetal sheep were subject to 30 min of cerebral ischemia. 90 min later they were randomized to either cooling (n = 9) or sham cooling (n = 7) for 72 h. Intrauterine cooling was induced by a coil around the fetal head, leading initially to a fall in extradural temperature of 5-10 degrees C, and a fall in esophageal temperature of 1.5-3 degrees C. Cooling was associated with mild transient systemic metabolic effects, but not with hypotension or altered fetal heart rate. Cerebral cooling reduced secondary cortical cytotoxic edema (P < 0.001). After 5 d of recovery there was greater residual electroencephalogram activity (-5.2+/-1.6 vs. -15.5+/-1.5 dB, P < 0.001) and a dramatic reduction in the extent of cortical infarction and neuronal loss in all regions assessed (e.g., 40 vs. 99% in the parasagittal cortex, P < 0.001). Selective head cooling, maintained throughout the secondary phase of injury, is noninvasive and safe and shows potential for improving neonatal outcome after perinatal asphyxia.

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Metadata

Authors
Gunn, A. J., Gunn, T. R., de Haan, H. H., Williams, C. E., & Gluckman, P. D.
Venue
Journal of Clinical Investigation
Published
1997-01-15
Volume
99
Issue
2
Pages
248-256
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2121087310
Cited by
622
References
26
FWCI
16.13
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Dramatic neuronal rescue with prolonged selective head cooling after ischemia in fetal lambs. https://app.cochat.ai/papers/10.1172/jci119153
The paper
Gunn, A. J., Gunn, T. R., de Haan, H. H., Williams, C. E., & Gluckman, P. D. (1997). Dramatic neuronal rescue with prolonged selective head cooling after ischemia in fetal lambs. Journal of Clinical Investigation. https://doi.org/10.1172/jci119153

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.