Two weeks since cardiac arrest with 30 min CPR and ECMO. Unresponsive with clinical coma. Blinking spontaneously. Do you see the missing AP gradient. What would be your assessment from now.
In severe anoxic encephalopathies, alpha appears more diffusely and is typically less reactive. Although this pattern also indicates a poor prognosis, with mortality rates exceeding 90%, instances of recovery have been reported occasionally.
When alpha coma is found in comatose patients with brainstem lesions, it is often more posterior, varies with external painful stimulation, and the prognosis is poor