| Postresuscitation encephalopathy. Current views, management, and prognostication. | |
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MedLine Citation:
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PMID: 15989696 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Cardiac arrest has a high mortality rate. Postresuscitation encephalopathy is commonly associated with significant morbidity. REVIEW SUMMARY: Among those patients who achieve a return to spontaneous circulation, more than half die during the subsequent hospital course. Few survivors recover without significant neurologic disability. Clinical examination is often used for predicting subsequent neurologic outcome in these patients. The role of ancillary investigations and the judicious combination of these parameters with the findings on clinical examination to achieve accurate prognostication is discussed in this review. Only a few parameters have a strong predictive value in coma after cardiac arrest. These include pupillary light reflexes and motor responses at 3 days, absent somatosensory evoked potential, and possibly diffuse magnetic resonance imaging changes. CONCLUSION: The authors discuss the physiology, pathology, and consequences of cardiac arrest to the central nervous system, and the use of various parameters in prognostication. Induced hypothermia is a new therapeutic development. |
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Authors:
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Boby Varkey Maramattom; Eelco F M Wijdicks |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The neurologist Volume: 11 ISSN: 1074-7931 ISO Abbreviation: Neurologist Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-07-01 Completed Date: 2005-09-27 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9503763 Medline TA: Neurologist Country: United States |
Other Details:
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Languages: eng Pagination: 234-43 Citation Subset: IM |
Affiliation:
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Division of Critical Care Neurology and Neurology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Brain Diseases
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diagnosis,
etiology*,
therapy Central Nervous System / physiopathology Heart Arrest / complications*, physiopathology, therapy* Humans Prognosis Resuscitation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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