A big white dot after CPR
| Autor: | Laura E. Walker, Alexander Ginsburg, Sherri A. Braksick, Eelco F. M. Wijdicks, Laura Harper, Sushma Kola |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report Computed tomography Embolus Internal medicine medicine.artery medicine Basilar artery Cardiopulmonary resuscitation Cerebrovascular disease Stroke Angiology Neuroradiology Interventional medicine.diagnostic_test RC86-88.9 business.industry Medical emergencies. Critical care. Intensive care. First aid medicine.disease Pulseless electrical activity cardiovascular system Emergency Medicine Cardiology business MRI |
| Zdroj: | International Journal of Emergency Medicine, Vol 14, Iss 1, Pp 1-4 (2021) International Journal of Emergency Medicine |
| ISSN: | 1865-1380 1865-1372 |
| DOI: | 10.1186/s12245-021-00376-3 |
| Popis: | Introduction Patients may remain comatose after the resumption of spontaneous circulation with cardiopulmonary resuscitation. A primary neurologic event may precede a cardiac standstill. Case report We present a 33-year-old patient with successful resuscitation for pulseless electrical activity and a “normal computed tomography (CT) scan.” Further scrutiny showed a hyperdense basilar artery sign (‘big white dot’) that led to a CT angiogram confirming an embolus to the proximal basilar artery. His examination showed fixed and dilated midsize (mesencephalic) pupils and extensor posturing. Endovascular retrieval of the clot was successful, but there was a devastating ischemic injury to the brainstem. Conclusion This case reminds us to consider neurologic causes of cardiac arrest. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink