Long-term survivors of cardiac arrest may suffer from mild cerebral
impairment manifested primarily by personality changes and behavioral
symptoms that can be mistaken for emotional responses to illness. The
authors report six cases that illustrate the clinical problem of
differentiating depression from organic brain dysfunction in this
population. The diagnosis is facilitated by observation over time and by
information from the spouse on baseline and current function. Chronicity,
dysinhibition, apathy, and disturbances of judgment and insight indicate
cerebral dysfunction. The accurate diagnosis of cerebral impairment after
cardiac arrest is essential to the rehabilitation process.Abstract Teaser