{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:55:15Z","timestamp":1740149715948,"version":"3.37.3"},"reference-count":2,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T00:00:00Z","timestamp":1631232000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T00:00:00Z","timestamp":1631232000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Patients may remain comatose after the resumption of spontaneous circulation with cardiopulmonary resuscitation. A primary neurologic event may precede a cardiac standstill.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case report<\/jats:title>\n                <jats:p>We present a 33-year-old patient with successful resuscitation for pulseless electrical activity and a \u201cnormal computed tomography (CT) scan.\u201d Further scrutiny showed a hyperdense basilar artery sign (\u2018big white dot\u2019) that led to a CT angiogram confirming an embolus to the proximal basilar artery. His examination showed fixed and dilated midsize (mesencephalic) pupils and extensor posturing. Endovascular retrieval of the clot was successful, but there was a devastating ischemic injury to the brainstem.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This case reminds us to consider neurologic causes of cardiac arrest.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12245-021-00376-3","type":"journal-article","created":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T17:02:21Z","timestamp":1631293341000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A big white dot after CPR"],"prefix":"10.1186","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5849-4590","authenticated-orcid":false,"given":"Sushma","family":"Kola","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander D.","family":"Ginsburg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Harper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura E.","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherri","family":"Braksick","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eelco F. M.","family":"Wijdicks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,10]]},"reference":[{"issue":"2","key":"376_CR1","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1097\/CCM.0000000000000722","volume":"43","author":"M Arnaout","year":"2015","unstructured":"Arnaout M, Mongardon N, Deye N, Legriel S, Dumas F, Sauneuf B, et al. Out-of-hospital cardiac arrest from brain cause: epidemiology, clinical features, and outcome in a multicenter cohort. Crit Care Med. 2015;43(2):453\u201360. https:\/\/doi.org\/10.1097\/CCM.0000000000000722.","journal-title":"Crit Care Med"},{"issue":"7","key":"376_CR2","doi-asserted-by":"publisher","first-page":"1644","DOI":"10.1016\/j.jstrokecerebrovasdis.2016.03.010","volume":"25","author":"RA Joundi","year":"2016","unstructured":"Joundi RA, Rabinstein AA, Nikneshan D, Tu JV, Fang J, Holloway R, et al. Cardiac arrest in acute ischemic stroke: incidence, predisposing factors, and clinical outcomes. J Stroke Cerebrovasc Dis. 2016;25(7):1644\u201352. https:\/\/doi.org\/10.1016\/j.jstrokecerebrovasdis.2016.03.010.","journal-title":"J Stroke Cerebrovasc Dis"}],"container-title":["International Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-021-00376-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12245-021-00376-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12245-021-00376-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,10]],"date-time":"2021-09-10T17:02:26Z","timestamp":1631293346000},"score":1,"resource":{"primary":{"URL":"https:\/\/intjem.biomedcentral.com\/articles\/10.1186\/s12245-021-00376-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,10]]},"references-count":2,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["376"],"URL":"https:\/\/doi.org\/10.1186\/s12245-021-00376-3","relation":{},"ISSN":["1865-1372","1865-1380"],"issn-type":[{"type":"print","value":"1865-1372"},{"type":"electronic","value":"1865-1380"}],"subject":[],"published":{"date-parts":[[2021,9,10]]},"assertion":[{"value":"9 July 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 August 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 September 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable (case report)","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Yes","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"51"}}