心脏骤停后双侧N20体感诱发电位消失后的良好预后。
A good outcome after absence of bilateral N20 SSEPs post-cardiac arrest.
作者信息
Karunasekara N, Salib S, MacDuff A
机构信息
New Cross Hospital, Wolverhampton, UK.
Royal Stoke University Hospital, Stoke-on-Trent, UK.
出版信息
J Intensive Care Soc. 2016 May;17(2):168-170. doi: 10.1177/1751143715616137. Epub 2015 Nov 17.
Abstract
A 51-year-old man suffered a cardiac arrest after an attempted hanging. Post-arrest assessment revealed the bilateral absence of negative 20 somatosensory evoked potentials (N20 SSEPs) which is suggestive of a poor neurological outcome. Current evidence recommends its use in prognostication. Our patient made a good recovery which brings into question the value of negative 20 somatosensory evoked potentials in prognostication with concomitant neck injuries and swelling.
摘要
一名51岁男子在试图上吊后发生心脏骤停。心脏骤停后评估显示双侧体感诱发电位N20缺失，这提示神经预后不良。目前的证据推荐将其用于预后评估。我们的患者恢复良好，这使得伴有颈部损伤和肿胀时N20体感诱发电位在预后评估中的价值受到质疑。
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Resuscitation. 2014 Dec;85(12):1779-89. doi: 10.1016/j.resuscitation.2014.08.011.
2
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J Neurol. 2012 Nov;259(11):2481-3. doi: 10.1007/s00415-012-6573-8. Epub 2012 Jun 12.
3
Neurologic prognosis in cardiac arrest patients treated with therapeutic hypothermia.治疗性低温治疗的心脏骤停患者的神经预后
Neurologist. 2011 Sep;17(5):241-8. doi: 10.1097/NRL.0b013e318224ee0e.
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6
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