Brain death
Diagnosis certain
Updates to Case Attributes
Presentation
was changed:
Motor vehicle accident: pedestrian vs. truck 10 days ago. Major abdominal and pelvic lesions. Evolving with seizures and feversfever in the ICU.
Systems changed:
- Forensic
Updates to Study Attributes
Findings
was changed:
There is wide diffuse abnormal signal involving all lobes of the hemispheres, characterised by cortical swelling and restricted diffusion (particularly of cortex, subcortical white matter, and deep grey matter - most notably the thalami). Generalised brain swelling is present with effacement of the basal cisterns.
Within the limitations of this scan (which does not include MRV or MRA) dural venous sinuses appear normal, and flow voids are present in the major intracranial arteries.
Air-fluid levels in both sphenoid sinuses. The orbits and calvarium appear unremarkable.
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