Prediction of outcome in patients with anoxic coma: a clinical and electrophysiologic study

Critical Care Medicine
R ChenB Young

Abstract

To evaluate and compare the predictive powers of clinical examination, electroencephalography (EEG), and studies of short-latency somatosensory evoked potentials in determining the prognosis in anoxic coma. Prospective case series of patients in anoxic coma, whose prognoses were uncertain based on previously established clinical criteria. The clinical features, EEG, and somatosensory evoked potentials results were correlated with outcome. A 40-bed intensive care unit in a university teaching hospital. Thirty-four consecutive patients admitted over a 2-yr period with anoxic coma as the principal diagnosis. None. Twenty-seven (79%) patients never recovered consciousness and seven (21%) patients made a good recovery. One of six patients whose pupillary reflexes were present but whose other cranial nerve reflexes were absent on day 1 recovered, but none of the seven patients with these features still present on day 3 survived. None of the patients with motor responses of extension to painful stimuli or worse on days 1 or 3 recovered. The EEGs were classified into benign, uncertain, and malignant categories. The results of both EEG and somatosensory evoked potentials studies were strongly associated with outcome. With malignant EEG,...Continue Reading

References

Apr 1, 1979·Annals of Neurology·A L HumeN A Shaw
Aug 1, 1991·Electroencephalography and Clinical Neurophysiology·T L RothsteinS M Sumi
Apr 1, 1991·Critical Care Medicine·S R GoodwinM Bellefleur
Jan 1, 1987·Electroencephalography and Clinical Neurophysiology·E Brunko, D Zegers de Beyl
Jan 1, 1988·Electroencephalography and Clinical Neurophysiology·T Ganes, T Lundar
Apr 1, 1988·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·V M Synek
Apr 1, 1988·Clinical EEG (electroencephalography)·S GanjiE Frazier
Apr 1, 1988·Clinical EEG (electroencephalography)·I Ahmed
Jan 1, 1987·European Neurology·G Scollo-Lavizzari, C Bassetti
Mar 8, 1985·JAMA : the Journal of the American Medical Association·D E LevyF Plum
Jun 9, 1983·The New England Journal of Medicine·W T LongstrethT S Inui
Jan 1, 1980·Neurology·B D SynderM Ramirez-Lassepas
Sep 1, 1981·Neurology·B D SnyderM Ramirez-Lassepas
Mar 1, 1981·Annals of Internal Medicine·D E LevyF Plum
Aug 1, 1994·Electroencephalography and Clinical Neurophysiology·G B YoungJ R Schieven

❮ Previous
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Citations

Jun 30, 2005·Indian Journal of Pediatrics·Pratibha D SinghiSunit C Singhi
May 3, 2005·Intensive Care Medicine·B G Carter, W Butt
May 9, 2013·Intensive Care Medicine·Jan ClaassenUNKNOWN Neurointensive Care Section of the European Society of Intensive Care Medicine
Jul 21, 2010·Neurocritical Care·Jennifer E FugateEelco F M Wijdicks
Sep 19, 1998·Electroencephalography and Clinical Neurophysiology·M R Nuwer
May 29, 2003·Pediatric Neurology·Leena D MewasinghBernard Dan
Nov 5, 1999·Neurophysiologie clinique = Clinical neurophysiology·J M Guérit
Sep 2, 2003·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·F LogiF Mauguière
Sep 9, 1999·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·C FischerF Salord
Aug 7, 2009·The New England Journal of Medicine·G Bryan Young
Sep 9, 1999·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·G B YoungJ Demelo
Nov 21, 2000·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·G B Young
Nov 21, 2000·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·T L Rothstein
Jun 14, 2003·Current Opinion in Pediatrics·Hubert K TrübelGeorge Lister
Mar 11, 2003·Critical Care Medicine·Lawrence R RobinsonHenry L Lew
Sep 9, 2005·The Neurologist·Richard P Brenner
Jan 26, 2007·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Akira NishisakiVinay Nadkarni
Sep 11, 2009·The Neurologist·Santiago Ortega-GutierrezOsama O Zaidat
Jan 21, 2010·Journal of Clinical Neurophysiology : Official Publication of the American Electroencephalographic Society·Ying Ying SuJing Wei Zhao
Feb 28, 2014·Critical Care : the Official Journal of the Critical Care Forum·Xiao-Gang KangWen Jiang
Jan 9, 2009·Neurocritical Care·Arjan RoestRudy Mercelis
Apr 12, 2016·Nature Reviews. Neurology·Raoul SutterPeter W Kaplan
Feb 3, 2009·Resuscitation·Toshikazu AbeUNKNOWN SOS-KANTO study group
Mar 23, 2010·Journal of Clinical Anesthesia·Patrick Yves WuethrichLennart Magnusson
Sep 1, 2005·Resuscitation·Audun LanghelleUNKNOWN 2003 Utstein Consensus Symposium
Aug 13, 1998·Critical Care Clinics·J Attia, D J Cook
Jul 6, 2014·Critical Care Clinics·Lauren NgM Kamran Athar

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