Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
CASE REPORTS
A case of disturbance of consciousness after the return of spontaneous circulation following cardiac arrest by hanging, treated with amantadine
Yuya Murata, Naoki Matsumiya, Yuichi Araki, Mika Yoshida, Emina Onishi, Yoshiaki Sekiya, Hitoshi Yamada
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Keywords: hanging, amantadine, fever
JOURNAL FREE ACCESS

2015 Volume 22 Issue 6 Pages 536-539

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Abstract
A 16-year-old male who showed the return of spontaneous circulation (ROSC) following cardiopulmonary arrest (CPA) by hanging was emergently taken to the hospital. The time to ROSC from cardiac arrest was at least 18 minutes and the GCS score was 3 points on admission. After admission, the patient received therapeutic hypothermic therapy, and was subsequently given amantadine, starting on the 49th hospital day, for a persistent drug-resistant fever and disturbance of consciousness, with which the fever resolved and the level of consciousness improved. Through physiotherapy, the patient could recover neurologically and was discharged on foot 4 months after admission. Although patients with ROSC following CPA by hanging are considered to show a poor prognosis, the present case actually showed a favorable outcome, with discharge on foot.
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© 2015 The Japanese Society of Intensive Care Medicine
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