| Hypotensive brain stem necrosis or cardiac arrest encephalopathy? | |
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MedLine Citation:
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PMID: 7376826 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Selective symmetrical necroses of many tegmental brain stem nuclei including motor cranial nerve nuclei, superior and inferior colliculi, cuneate and gracilis nuclei, and others are known as hypotensive brain stem necrosis (Gilles 1969). We found such lesions in eight infants and seven adults. Examination of their clinical records revealed a well documented episode of cardiac arrest in each case. Cardiac output was restored in all but one patient 5 min to 4 h after the beginning of resuscitation. All patients remained comatose in a decerebrate state up to their death 17 h to 4 weeks after admission. Our findings and a review of the literature indicate that this type of lesion relates specifically to cardiac arrest. The term "hypotensive brain stem necrosis"is a misnomer and should be replaced by the term "cardiac arrest encephalopathy". |
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Authors:
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R C Janzer; R L Friede |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neuropathologica Volume: 50 ISSN: 0001-6322 ISO Abbreviation: Acta Neuropathol. Publication Date: 1980 |
Date Detail:
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Created Date: 1980-07-28 Completed Date: 1980-07-28 Revised Date: 2007-11-09 |
Medline Journal Info:
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Nlm Unique ID: 0412041 Medline TA: Acta Neuropathol Country: GERMANY, WEST |
Other Details:
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Languages: eng Pagination: 53-6 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Brain Stem / pathology* Cardiac Output Child Child, Preschool Decerebrate State / pathology Female Heart Arrest / pathology* Humans Hypotension / pathology* Infant Infant, Newborn Male Middle Aged Necrosis Resuscitation |
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