Open AccessA rare case of full neurological recovery from severe nonexertional heatstroke during a bedrock bath
Author(s) -
Sagisaka Shogo,
Tamune Hidetaka,
Shimizu Keiki,
Kashiyama Tetsuya
Publication year - 2018
Publication title -
journal of general and family medicine
Language(s) - English
Resource type - Journals
ISSN - 2189-7948
DOI - 10.1002/jgf2.178
Subject(s) - heatstroke , glasgow coma scale , medicine , coma (optics) , anesthesia , level of consciousness , pediatrics , physics , optics
We report a rare case of full neurological recovery in a 77‐year‐old woman with an initial Glasgow Coma Scale of 3 while taking a bedrock bath. Severe heatstroke was quickly diagnosed, and intensive treatment was immediately provided. Laboratory data showed multi‐organ failure, and her electroencephalogram showed very low amplitude, indicating a poor prognosis; however, she gradually recovered consciousness, and her electroencephalogram normalized, showing a Glasgow Coma Scale of 15 at discharge. This case demonstrated that physicians should pay careful attention when withholding treatment from a patient with severe heatstroke accompanied by a poor initial electroencephalogram result and laboratory data.