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Persistent neurological deficits in heat stroke

PARTIAL OR COMPLETE loss of consciousness, convulsions, and delirium characterize “heat stroke.” An abrupt onset of symptoms is common, justifying, to a degree, the name “stroke.” Major differentiating features are a history of heat or sun exposure, a rise in body temperature, usually above 106” F., lack of sweating, and cardiovascular collapse.1 Even with early and appropriate therapy, many patients die. Those who survive recover rapidly and often completely. Heat stroke rarely leads to permanent neurological deficits. The present report describes a patient with persistent severe neurological deficits eleven years after heat stroke.