Local Brain Surface Temperature Compared to Temperatures Measured at Standard Extracranial Monitoring Sites During

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Abstract
Mild hypothermia is assumed to protect against secondary brain injury. However, the accuracy of brain temperature estimation remains debatable if direct measurement in the target area is to be avoided or is impossible. Furthermore, intracerebral temperature gradients exist, especially under intraoperative conditions. We aimed to establish how brain surface temperatures (TBrain) relate to temperatures taken at standard sites in posterior fossa surgery. Ten patients undergoing cerebellopontine angle tumor removal were monitored for TBrain, esophageal temperature (TEso), bladder temperature (TBlad), ipsi- and contralateral tympanic membrane (TTymp-I, TTymp-c), and scalp temperatures (TScalp). During monitoring, TEso increased from 35.3 ± 0.2°C to 36.0 ± 0.3°C. After dura opening, TBrain was −0.14 ± 0.1°C below TEso. At the end of tumor removal, this difference increased to −0.43 ± 0.31°C (P

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