Hypoxic-ischemic spinal cord injury following resuscitated cardiac arrest: a case series and rapid literature review.

ABSTRACT:

Purpose

Cardiac arrest can cause hypoxic-ischemic injury and result in both spinal cord injury and death determination by neurologic criteria (DNC). The presence and severity of hypoxic-ischemic spinal cord injury (HISCI) impacts neuro-prognostication, rehabilitation, and may confound DNC evaluation in patients by interfering with motor responses and respiratory muscle function in apnea testing. We describe five children with postarrest HISCI detected on magnetic resonance imaging (MRI) and supplement our observations with a literature review.

Clinical features

Postarrest HISCI was identified in five consecutive pediatric cases of prolonged cardiac arrest and hypoxic-ischemic brain injury in a single centre. All patients had cardiopulmonary resuscitation for > 30 min and res

SUBMITTER: Francoeur C 

PROVIDER: S-EPMC12307544 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature