Rothstein Ted L
Department of Neurology, Northwest Hospital, Seattle, WA 98133, USA.
Resuscitation. 2004 Mar;60(3):335-41. doi: 10.1016/j.resuscitation.2003.10.007.
An electroencephalogram disclosing electrocerebral silence (ECS) after cardiopulmonary resuscitation (CPR) is usually considered an unfavorable prognostic indicator associated with brain death or persistent vegetative state. I report a case of a comatose patient following cardiac arrest, whose initial electroencphalography (EEG) was isoelectric taken 5 h after onset. Median somatosensory evoked potentials (SSEP) obtained immediately after the initial EEG were normal. He then underwent gradual recovery of neurologic function with incremental improvement on serial EEG study, and eventually achieved full neurological recovery. SSEP proved to be a more reliable predictor of a neurological outcome that was ultimately favorable.
心肺复苏（CPR）后脑电图显示大脑电静息（ECS）通常被认为是与脑死亡或持续性植物状态相关的不良预后指标。我报告一例心脏骤停后昏迷患者，其初始脑电图（EEG）在发病5小时后呈等电位。初始脑电图检查后立即获得的正中神经体感诱发电位（SSEP）正常。随后，他的神经功能逐渐恢复，系列脑电图检查逐渐改善，最终实现了完全神经功能恢复。事实证明，SSEP是最终良好神经功能预后的更可靠预测指标。
