PMC5350322_01
Computed tomography (CT) of the head. (a) CT head on admission showing a right thalamic hemorrhage with intraventricular extension. Note the obstructive hydrocephalus. (b) CT head on hospital day 9 showing evolution of the right thalamic hemorrhage and resolution of the obstructive hydrocephalus with external ventricular drainage (not shown) and after intraventricular tissue plasminogen activator (tPA).
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fig1
His computed tomography (CT) scan of the head showed a right thalamic hemorrhage (10.4 cc) with extension into the upper midbrain along with intraventricular extension resulting in obstructive hydrocephalus (Figure 1(a)). The intraventricular hemorrhage improved significantly by day 9 of hospitalization (Figure 1(b)).
Temperature graph. Average core temperature for each day during hospital course is graphically shown. Error bars are standard errors of the mean. Bromocriptine was started on days 2, 13, and 22. It was stopped on days 6 and 21. Immediately after discontinuation of bromocriptine, there was a significant increase in core temperature. After resuming bromocriptine, there was a significant decrease in core temperature. *p < 0.05, **p < 0.001, and ***p < 0.0001.
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fig2
The fever spikes reduced to minor fluctuations that worsened with each attempt to wean off the bromocriptine (Figure 2). Figure 2 is a graph of the average core temperature (+/- standard error of the mean) and association of bromocriptine initiation and discontinuation.