Hypoxic-ischemic brain injury

Case contributed by Vinay Shah
Diagnosis certain

Presentation

History of cardiac arrest, resuscitation for the same. Coma.

Patient Data

Age: 40 years
Gender: Male
mri

Diffuse areas of restricted diffusion are seen on the DWI sequences involving the cerebral hemispheres bilaterally (fronto-temporo-parieto-occipital region). It involves the cerebral cortex, subcortical region, white matter, basal ganglia, posterior limb of internal capsule, cerebral peduncle, splenium and body of corpus callosum, which shows hyperintense signal on the T2W, FLAIR images and hypointense on T1W, ADC images.

Effacement of the cortical sulci and subarachnoid spaces noted, represent diffuse cerebral edema.  

Case Discussion

Features of diffuse hypoxic-ischemic insult as a result of previous cardiac arrest. 

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