Brain Magnetic Resonance Imaging in Patients with Favorable Outcomes after Out-of-Hospital Cardiac Arrest: Many Have Encephalopathy Even with a Good Cerebral Performance Category Score / 대한구급학회지
The Korean Journal of Critical Care Medicine
;
: 265-271, 2015.
Article
in English
| WPRIM
| ID: wpr-770908
ABSTRACT
BACKGROUND:
The aim of this study was to retrospectively evaluate and analyze the brain magnetic resonance imaging (B-MRI) findings of patients with a favorable neurological outcome following cerebral performance category (CPC) after out-of-hospital cardiac arrest (OHCA) at single university hospital emergency center.METHODS:
Patients with return of spontaneous circulation (> 24 h) after OHCA who were older than 16 years of age and who had been admitted to the emergency intensive care unit (EICU) for over a 57-month period between July 2007 and March 2012 and survived with a favorable neurological outcome were enrolled. B-MRI was taken after recovery of their mental status.RESULTS:
Fifty-two patients among the 305 admitted patients had a good CPC, and 33 patients' B-MRI were analyzed (CPC 1 26 patients, CPC 2 7 patients). Among these, 18 (54.5%) patients had a normal finding on B-MRI. On the other hand, ischemia/infarction/microangiopathy compatible with hypoxic-ischemic encephalopathy (HIE) were found on various brain areas including subcortical white matter (7/13), cerebral cortex, central semiovlae, basal ganglia, putamen, periventricular white matter, and cerebellum.CONCLUSIONS:
Survivors with a favorable neurological outcome from OHCA showed HIE on B-MRI, especially all of the patients with a CPC 2. More detail neurologic category including brain imaging would be needed to categorize patients with favorable outcome after OHCA.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Putamen
/
Basal Ganglia
/
Brain
/
Magnetic Resonance Imaging
/
Cerebellum
/
Cerebral Cortex
/
Retrospective Studies
/
Survivors
/
Hypoxia-Ischemia, Brain
/
Emergencies
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Critical Care Medicine
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS