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Bilateral intracerebral hemorrhage following CPR

  • KYUNG CHUL CHA 1
  • TUYET NGUYEN THI1
  • HYUNG JIN SHIN1
  • YONG SUNG CHA1
  • HYUN KIM1
  • KANG HYUN LEE1
  • SUNG OH HWANG1

1,Department of Emergency Medicine Wonju College of Medicine Yonsei University

DOI: 10.22514/SV72.102012.10 Vol.7,Issue 2,October 2012 pp.53-55

Published: 29 October 2012

*Corresponding Author(s): SUNG OH HWANG E-mail: shwang@yonsei.ac.kr

Abstract

Intracranial hemorrhage is an extremely rare complication following cardiopulmonary resuscitation (CPR). Only a few cases of subarachnoid hemorrhage during the post-resuscitation period have been reported in the literature.

A 55 year-old man, who was resuscitated following a cardiac arrest, sustained an intracranial hemorrhage during the post cardiac arrest period. His brain computerized tomography (CT), performed 4 hours after return of spontaneous circulation, showed no signs of intracranial hemorrhage. However, a brain CT performed 7 days after cardiac arrest revealed a massive intracerebral hemorrhage in both basal ganglia and thalami with an associated subarachnoid hemorrhage.

This paper reports the first case of intracerebral hemorrhages in bilateral basal ganglia and thalami that developed following cardiac arrest and resuscitation.

Keywords

cardiopulmonary resus-citation (CPR), intracranial hemorr-hage, basal ganglia hemorrhage, cardiac arrest

Cite and Share

KYUNG CHUL CHA ,TUYET NGUYEN THI,HYUNG JIN SHIN,YONG SUNG CHA,HYUN KIM,KANG HYUN LEE,SUNG OH HWANG. Bilateral intracerebral hemorrhage following CPR. Signa Vitae. 2012. 7(2);53-55.

References

1. Lederer W, Mair D, Rabl W, Baubin M. Frequency of rib and sternum fractures associated with out-of-hospital cardiopulmonary resuscitation is underestimated by conventional chest X-ray. Resuscitation 2004 Feb;60(2):157-62.

2. Buschmann CT, Tsokos M. Frequent and rare complications of resuscitation attempts. Intensive Care Med 2009 Mar;35(3):397-404.

3. Lowenthal A, Maimon N, Waldman S, Almog Y. Sub-arachnoid hemorrhage following cardiopulmonary resuscitation. Resuscitation 2004 Nov;63(2):221-3.

4. Gueugniaud PY. Subarachnoid hemorrhage: a complication of CPR? Crit Care Med 1987 Mar;15(3):284-5.

5. Harukuni I BA. Mechanism of brain injury after global cerebral ischemia. Neurol Clin 2006;24:1-21.

6. Nolan JP, Neumar RW, Adrie C, Aibiki M, Berg RA, Böttiger BW, et al. Post-cardiac arrest syndrome: epidemiology, pathophysiology, treatment, and prognostication. A Scientific Statement from the International Liaison Committee on Resuscitation; the American Heart Association Emergency Cardiovascular Care Committee; the Council on Cardiovascular Surgery and Anesthesia; the Council on Cardio-pulmonary, Perioperative, and Critical Care; the Council on Clinical Cardiology; the Council on Stroke. Resuscitation 2008;79:350-79.

7. Böttiger BW, Motsch J, Böhrer H, Böker T, Aulmann M, Nawroth PP, et al. Activation of blood coagulation after cardiac arrest is not balanced adequately by activation of endogenous fibrinolysis. Circulation 1995;92:2572-8.

8. Lodder J BK-KaJB. Cerebral hemorrhagic infarction at autopsy: cardiac embolic cause and the relationship to the cause of death. Stroke 1986;17:626-9.

9. Hornig CR WDaAA. Hemorrhagic cerebral infarction--a prospective study. Stroke 1986;17:179-85.

10. Okada Y, Yamaguchi T, Minematsu K, Miyashita T, Sawada T, Sadoshima S, et al. Hemorrhagic transformation in cerebral embolism. Stroke 1989;20:598-603.

11. Ott BR, Zamani A, Kleefield J, Funkenstein HH. The clinical spectrum of hemorrhagic infarction. Stroke 1986;17:630-7.

12. Toni D, Fiorelli M, Bastianello S, Sacchetti ML, Sette G, Argentino C, et al. Hemorrhagic transformation of brain infarct: predictability in the first 5 hours from stroke onset and influence on clinical outcome. Neurology 1996;46:341-5.

13. Iida K, Satoh H, Arita K, Nakahara T, Kurisu K, Ohtani M. Delayed hyperemia causing intracranial hypertension after cardiopulmonary resuscitation. Crit Care Med 1997 Jun;25(6):971-6.

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