Laura Bennet, PhD
Department of Physiology
Alistair J. Gunn, MBChB, PhD
Departments of Paediatrics and Physiology
Auckland University
Auckland 1020, New Zealand
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To the Editor.
Rewarming after cooling treatment for severe hypoxic-ischemic encephalopathy is potentially more complex than induction of cooling, because it might lead to destabilizing changes in neuronal activity. On an empirical basis, clinical studies of therapeutic hypothermia typically have rewarmed infants at no more than 0.5°C per hour.1,2 We report rebound seizure activity in 1 infant during rewarming from a 72-hour