Denisa Fatimathuz Azzahra
Fakultas Kedokteran, Universitas Hang Tuah, Surabaya, Indonesia

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CEREBRAL PALSY TETRAPLEGI SPASTIS PASCA CARDIAC ARREST Fernando Natanael Kurniawan; Nadiyah Ulfa; Denisa Fatimathuz Azzahra; Salsabila Rayyan Paramesti; Azzahra Banafsaj Altima Nexiary Haryanto; Eka Poerwanto; Andi Abdullah
Surabaya Biomedical Journal Vol. 6 No. 1 (2026): September
Publisher : Fakultas Kedokteran, Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/v6i1.200

Abstract

Introduction: Cardiac Arrest in children can cause hypoxia and cerebral ischemic that potentially affect long term neurological complication, include Cerebral Palsy. Brain damage caused by prolonged disruption of perfusion and oxygen supply can result in permanent motor impairment, spasticity, seizures, and developmental delays. Method: This study used a case report design on a 5-year-old boy with cerebral palsy after cardiac arrest. Data were obtained from the patient's medical records, supporting examination results, and clinical evaluations during treatment and rehabilitation. Results: The patient experienced cardiac arrest due to ventricular tachycardia accompanied by epilepsy and underwent intensive care with a ventilator, implantable cardioverter defibrillator (ICD), and tracheostomy. After stabilizing, the patient experienced neurological disorders in the form of a vegetative state, severe spasticity, recurrent seizures, increased physiological reflexes, and delayed motor development, leading to a diagnosis of spastic cerebral palsy. Management was carried out multidisciplinaryly through antiepileptic therapy, physiotherapy, range of motion (ROM) exercises, spasticity inhibition, and long-term medical rehabilitation. Conclusion: Cardiac arrest in pediatric patients can cause hypoxic-ischemic brain injury that can progress to cerebral palsy as a long-term neurological complication. Prompt treatment, intensive care, and multidisciplinary rehabilitation are crucial in maintaining motor function, preventing further complications, and improving the patient's quality of life.