Erik P. Hess, MD, Eric T. Boie, MD, Roger D. White, MD

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Presentation transcript:

Survival of a Neurologically Intact Patient With Subarachnoid Hemorrhage and Cardiopulmonary Arrest Erik P. Hess, MD, Eric T. Boie, MD, Roger D. White, MD Mayo Clinic Proceedings Volume 80, Issue 8, Pages 1073-1076 (August 2005) DOI: 10.4065/80.8.1073 Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Electrocardiogram obtained on patient's arrival at our emergency department reveals atrial fibrillation with a junctional rhythm and ST-segment elevation in leads II, III, and aVF with reciprocal depression in leads I, aVL, and V2-V6, suggestive of inferior ST-segment elevation myocardial infarction. Mayo Clinic Proceedings 2005 80, 1073-1076DOI: (10.4065/80.8.1073) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Head computed tomography reveals acute subarachnoid blood in the interpeduncular cistern (arrow) and cerebral edema with sulcal effacement. Mayo Clinic Proceedings 2005 80, 1073-1076DOI: (10.4065/80.8.1073) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Electrocardiogram obtained after ventricular fibrillation, return of spontaneous circulation, and return from the computed tomographic scanner reveals a junctional rhythm with no evidence of atrial activity. The ST-segment elevation in leads III and aVF with reciprocal depression in leads I, aVL, and V2-V6 is more pronounced. Mayo Clinic Proceedings 2005 80, 1073-1076DOI: (10.4065/80.8.1073) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 4 Cerebral angiogram shows an aneurysm (5 × 4.5 × 4 mm) with a 3-mm neck along the left anterior communicating artery before (arrow, left) and after (arrow, right) coiling. Mayo Clinic Proceedings 2005 80, 1073-1076DOI: (10.4065/80.8.1073) Copyright © 2005 Mayo Foundation for Medical Education and Research Terms and Conditions