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2-Vessel Occlusion/Hypotension: A Rat Model of Global Brain Ischemia
Published on: June 22, 2013
Choking leading to cardiac arrest and subsequent atypical radiological features of brain damage: A case report
Bano Alsaleh1, Ahmed Alanzi2, Dawood Alatefi3
1Radiology Department, King Hamad University Hospital, Building 2435, Road 2835, Block 228, Busaitin, Muharraq, Kingdom of Bahrain.
Abstract:
Choking-induced cardiac arrest leading to hypoxic brain injury is a rare and life-threatening event. We report the case of a 73-year-old man who collapsed while breaking his fast during Ramadan due to food aspiration. He was successfully resuscitated after prolonged cardiopulmonary resuscitation (CPR). Upon admission, he was intubated, and a large amount of food debris was suctioned from his airway. Neuroimaging revealed global cerebral hypoperfusion, early hypoxic-ischemic encephalopathy, and microhemorrhages in the basal ganglia and temporal lobes, suggestive of reperfusion injury. Electroencephalography (EEG) indicated severe cerebral dysfunction. Despite supportive intensive care, neurological reassessment revealed fixed pupils and absent brainstem reflexes, indicating a poor prognosis. This case underscores the importance of prompt airway management and highlights the diagnostic role of imaging and neurophysiology in prognostication following choking-related cardiac arrest.
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