Global hypoxic brain injury

Case contributed by RMH Core Conditions

Presentation

GCS 3.

Patient Data

Age: 18
Gender: Female
Modality: CT

There is diffuse oedema and loss of normal grey-white differentiation. 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 haemorrhage. These appearances are consistent with hypoxic- ischaemic brain injury.

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

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Case Information

rID: 33942
Case created: 30th Jan 2015
Last edited: 10th Sep 2015
Inclusion in quiz mode: Included

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