Global hypoxic ischemic injury

Case contributed by Dr Andrew Kirby

Presentation

IV Drug user. Found collapsed, diarrheal illness. VF arrest on induction, now intubated. Now fixed and dilated pupils.

Patient Data

Age: 38 years
Gender: Male

Marked cerebral and cerebellar edema with complete loss of grey-white matter differentiation, complete loss of sulcal spaces and cerebellar tonsil descent. Pseudo-subarachnoid sign is present where dural reflections appear bright.

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