Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest

Aneurysmal subarachonoid hemorrhage (SAH) is a common cause of out-of-hospital cardiac arrest (OHCA). Even after successful resuscitation, most of these SAH patients suffer brain death or enter a vegetative state. To our knowledge, survival without neurological damage from SAH following OHCA is quit...

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Main Authors: Hidetada Fukushima, Kenji Nishio, Kazuo Okuchi
Format: Article
Language:English
Published: Wiley 2009-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2009/375676
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author Hidetada Fukushima
Kenji Nishio
Kazuo Okuchi
author_facet Hidetada Fukushima
Kenji Nishio
Kazuo Okuchi
author_sort Hidetada Fukushima
collection DOAJ
description Aneurysmal subarachonoid hemorrhage (SAH) is a common cause of out-of-hospital cardiac arrest (OHCA). Even after successful resuscitation, most of these SAH patients suffer brain death or enter a vegetative state. To our knowledge, survival without neurological damage from SAH following OHCA is quite a rare event. We treated a case of SAH who presented with OHCA and survived without neurological sequelae. A 50-year-old woman presented with ventricular fibrillation (VF), and was successfully resuscitated before hospital arrival. Since there was no evidence of acute coronary syndrome, a head CT scan was performed and established the diagnosis of SAH. On arrival, she was comatose, however, 3 hours after admission, her neurological status recovered. She underwent treatment for the ruptured aneurysms and was discharged from hospital without any neurological deficits.
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spelling doaj-art-7725b8d786e94ab1a3771df9c0aeae0b2025-08-20T03:35:18ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/375676375676Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac ArrestHidetada Fukushima0Kenji Nishio1Kazuo Okuchi2Department of Emergency and Critical Care Medicine, Nara Medical University, Nara 634-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, Nara 634-8522, JapanDepartment of Emergency and Critical Care Medicine, Nara Medical University, Nara 634-8522, JapanAneurysmal subarachonoid hemorrhage (SAH) is a common cause of out-of-hospital cardiac arrest (OHCA). Even after successful resuscitation, most of these SAH patients suffer brain death or enter a vegetative state. To our knowledge, survival without neurological damage from SAH following OHCA is quite a rare event. We treated a case of SAH who presented with OHCA and survived without neurological sequelae. A 50-year-old woman presented with ventricular fibrillation (VF), and was successfully resuscitated before hospital arrival. Since there was no evidence of acute coronary syndrome, a head CT scan was performed and established the diagnosis of SAH. On arrival, she was comatose, however, 3 hours after admission, her neurological status recovered. She underwent treatment for the ruptured aneurysms and was discharged from hospital without any neurological deficits.http://dx.doi.org/10.1155/2009/375676
spellingShingle Hidetada Fukushima
Kenji Nishio
Kazuo Okuchi
Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest
Case Reports in Medicine
title Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest
title_full Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest
title_fullStr Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest
title_full_unstemmed Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest
title_short Subarachnoid Hemorrhage Associated with Ventricular Fibrillation and Out-of-Hospital Cardiac Arrest
title_sort subarachnoid hemorrhage associated with ventricular fibrillation and out of hospital cardiac arrest
url http://dx.doi.org/10.1155/2009/375676
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AT kenjinishio subarachnoidhemorrhageassociatedwithventricularfibrillationandoutofhospitalcardiacarrest
AT kazuookuchi subarachnoidhemorrhageassociatedwithventricularfibrillationandoutofhospitalcardiacarrest