Hypoxic ischemic encephalopathy

Case contributed by Brendon Friesen
Diagnosis almost certain

Presentation

Cardiac arrest

Patient Data

Age: 70 years
Gender: Male

There is loss of grey-white matter differentiation in multiple areas of the supratentorial cortex,  with hypoattenuation in multiple cortical areas. The bilateral caudate nuclei, lentiform nuclei, bilateral thalami and the dorsal midbrain are  also hypoattenuating. There is mild diffuse cerebral swelling with sulcal effacement and reduced ventricular size. No descending transtentorial or tonsillar herniation. There is no intracranial hemorrhage. 

Case Discussion

Severe hypoxic ischemic encephalopathy with multifocal infarctions (including midbrain, bilateral thalamic, multifocal supratentorial cortical).

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