BMJ Case Reports 2012; doi:10.1136/bcr-2012-007587
  • Unusual association of diseases/symptoms

Haematological, neurological and electrocardiographic findings in secondary hypothermia

  1. Alisa M Duran-Nelson
  1. Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA
  1. Correspondence to Dr Alisa M Duran-Nelson, duran012{at}


The association between secondary hypothermia and pancytopaenia is uncommon. A young woman presented with chronic hypothermia (28.8–34.6°C) secondary to surgical hypothalamic injury postcraniopharyingioma resection as a child. Associated findings included pancytopaenia (haemoglobin 8.1 g/dl, leucocytes 3500/mm3, platelets 63 000/mm3), ataxia, upper motor neuron signs, decreased level of consciousness and new ECG changes. An extensive evaluation failed to reveal any cause of pancytopaenia other than chronic hypothermia. The haematological and neurological changes improved after active rewarming.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article