Global hypoxic brain injury

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

GCS 3.

Patient Data

Age: 20 years
Gender: Female
ct

Global diffuse edema and loss of normal grey-white differentiation is present. Hypoattenuation of the cerebral hemispheres and especially basal ganglia with sparing of the cerebellum is seen along with hyperdense falx cerebri and tentorium cerebelli relative to brain parenchyma, giving the appearance of pseudosubarachnoid hemorrhage. These appearances are consistent with hypoxic-ischemic brain injury.

 

There is marked increased mass effect with tonsillar and uncal herniation, and slit-like effacement of the lateral and third ventricles. No midline shift. No intracranial hemorrhage.

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