Combined cerebral oedema

Combined cerebral oedema is a type of cerebral oedema in which there is a mixed pattern of both cytotoxic and vasogenic cerebral oedema.

It is usually associated with severe systemic damage, such as with:

Radiographic features

The radiographic features are those of both cytotoxic and vasogenic cerebral oedema. Hence, both the grey and white matter are affected, with sulci effacement, loss of cortical differentiation and finger-like hypodensities (CT-scan) / hypersignal (T2/FLAIR).

Treatment and prognosis

This finding usually carries a very poor prognosis. Cerebral herniation is almost inevitable unless aggressive treatment of the underlying aetiology is quickly initiated.

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Article information

rID: 24488
Tags: cases, refs
Synonyms or Alternate Spellings:
  • Combined cerebral edema
  • Mixed cerebral oedema
  • Mixed cerebral edema

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