Global hypoxic-ischemic injury

Case contributed by Abdallah Al Khateeb
Diagnosis certain

Presentation

Old age female with complicated clinical picture. Recurrent CPR. The patient died.

Patient Data

Age: 77
Gender: Female

This NECT brain shows reversed attenuation of the grey and white matter (the so-called reversal sign). The white matter is of higher density than the grey matter. No significant brain edema.

Case Discussion

The etiology of hypoxic-ischemic injury in the adult is usually cardiac arrest with resultant brain hypoperfusion. Ischemia and infarction ensue.

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