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 / 대한중환자의학회지
Korean Journal of Critical Care Medicine
; : 265-271, 2015.
Article
en En
| WPRIM
| ID: wpr-25384
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Putamen
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Ganglios Basales
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Encéfalo
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Imagen por Resonancia Magnética
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Cerebelo
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Corteza Cerebral
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Estudios Retrospectivos
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Sobrevivientes
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Hipoxia-Isquemia Encefálica
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Urgencias Médicas
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
En
Revista:
Korean Journal of Critical Care Medicine
Año:
2015
Tipo del documento:
Article