Journal
RESUSCITATION
Volume 83, Issue 2, Pages 265-269Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.resuscitation.2011.09.017
Keywords
Cardiac arrest; Myoclonus; Therapeutic hypothermia
Categories
Funding
- American Heart Association [0735533T]
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Early myoclonus in comatose survivors of cardiac arrest, even when it is not myoclonic status epilepticus (MSE), is considered a sign of severe global brain ischemia and has been associated with high rates of mortality and poor neurologic outcomes. We report on three survivors of primary circulatory cardiac arrests who had good neurologic outcomes (two patients with a CPC score = 1 and one patient with a CPC score = 2) after mild therapeutic hypothermia, despite exhibiting massive myoclonus within the first 4 h after return of spontaneous circulation. The concept that early myoclonus heralds a uniformly poor prognosis may need to be reconsidered in the era of post-cardiac arrest mild therapeutic hypothermia. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
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