The case nicely demonstrates the effect of prolonged hypoxemia on the brain. The deep grey matter is especially affected with decreased attenuation of bilateral basal ganglia as well as medial temporal lobes, there is also a reversal of grey-white matter normal differentiation noted particularly at medial frontal and insular lobes.
A dense thrombus is noted within the distal right transverse sinus
Global cerebral and cerebellar atrophy is evident with dilated ventricular system and capacious extra-axial CSF spaces. The patient has an underlying neurodegenerative disorder with developmental, and cognitive delays.