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British Journal of Anaesthesia, 2002, Vol. 88, No. 5 719-722
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Neurological outcome prediction in a cardiorespiratory arrest survivor

W. C. Goh*,1, P. D. Heath2, S. J. Ellis3 and P. A. Oakley4

Departments of 1Anaesthesia and Intensive Care, City General, 2Clinical Neurophysiology, 3Neurology, 4Trauma Research, Royal Infirmary, North Staffordshire Hospital, Princes Road, Hartshill, Stoke-on-Trent ST4 7LN, UK*Corresponding author

Outcome prediction of neurological recovery in an unconscious survivor of cardiorespiratory arrest is difficult and uncertain. We describe the case of a 25-yr-old post-arrest survivor who made a remarkable neurological improvement despite a seemingly hopeless prognosis. Conventional clinical and neurophysiological assessments need to be interpreted with care in the presence of uncontrolled seizure activity and sedative medications. The measurement of biochemical markers in the serum and cerebrospinal fluid may be useful in helping the clinician to arrive at a more accurate neurological outcome prediction.

Br J Anaesth 2002; 88: 719–22


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