title: Recovery from near drowning and postanoxic status epilepticus with controlled hypothermia.
abstract: 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.
authors.affiliation: Department of Intensive Care, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands. a.c.depont@amc.uva.nl
authors.forename: A C J M
authors.initials: AC
authors.lastname: de Pont
authors.forename: C P C
authors.initials: CP
authors.lastname: de Jager
authors.forename: W M
authors.initials: WM
authors.lastname: van den Bergh
authors.forename: M J
authors.initials: MJ
authors.lastname: Schultz
mesh_terms: D000328:Adult; D004242:Diving / Q000009:adverse effects*; D006323:Heart Arrest; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D000860:Hypoxia / Q000150:complications*; D002534:Hypoxia, Brain / Q000150:complications*; D008297:Male; D015701:Near Drowning / Q000150:complications*; D012151:Resuscitation; D013226:Status Epilepticus / Q000188:drug therapy / Q000209:etiology*; D013997:Time Factors