Recovery from near drowning and postanoxic status epilepticus with controlled hypothermia

被引：1
|
作者：
de Pont, A. C. J. M. [1 ]
de Jager, C. P. C. [2 ]
van den Bergh, W. M. [1 ]
Schultz, M. J. [1 ]
机构：
[1] Univ Amsterdam, Acad Med Ctr, Dept Intens Care, NL-1105 AZ Amsterdam, Netherlands
[2] Jeroen Bosch Hosp, Shertogenbosch, Netherlands
来源：
NETHERLANDS JOURNAL OF MEDICINE | 2011年 / 69卷 / 04期
关键词：
Brain hypoxia; induced hypothermia; near drowning; resuscitation; status epilepticus; CARDIAC-ARREST PATIENTS; CARDIOPULMONARY-RESUSCITATION; THERAPEUTIC HYPOTHERMIA; REPERFUSION;
D O I：
暂无
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A diver was resuscitated after cardiac arrest due to near drowning and was hypothermic on hospital arrival. During rewarming, status epilepticus occurred, previously identified as a predictor of poor outcome. The seizures responded well to treatment with antiepileptic drugs and controlled hypothermia. After six weeks, the patient had completely recovered. This case supports the hypothesis that hypothermia offers neuroprotection, even in the presence of status epilepticus. We recommend that near-drowning victims who are comatose after resuscitation for cardiac arrest be treated with controlled mild hypothermia for 12 to 24 hours.
引用
收藏
页码：196 / 197
页数：2
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