title: Determination of prognosis after cardiac arrest may be more difficult after introduction of therapeutic hypothermia.
abstract: A 50-year-old patient had status epilepticus and no adequate reactions nine days after prolonged out-of-hospital cardiac arrest. The cause of the arrest was acute myocardial infarction which was treated successfully with percutaneous cardiac intervention (PCI) and a stent placement. He was treated with therapeutic hypothermia (33 degrees C) for 24h and in intensive care with respiratory support for 42 days. One year later he has fully recovered and is back to normal life and academic work. The previously reported 100% prognosis of a poor neurological outcome in the presence of seizures 72 h post arrest may need to be re-examined after introduction of therapeutic hypothermia.
authors.affiliation: Department of Anaesthesiology and Institute for Experimental Medical Research, Surgical Division, Ulleval University Hospital, N-0407 Oslo, Norway. kjetil.sunde@medisin.uio.no
authors.forename: Kjetil
authors.initials: K
authors.lastname: Sunde
authors.forename: Oona
authors.initials: O
authors.lastname: Dunlop
authors.forename: Morten
authors.initials: M
authors.lastname: Rostrup
authors.forename: Mårten
authors.initials: M
authors.lastname: Sandberg
authors.forename: Hans
authors.initials: H
authors.lastname: Sjøholm
authors.forename: Dag
authors.initials: D
authors.lastname: Jacobsen
mesh_terms: D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D011379:Prognosis