Presentation
The patient had a GCS 3 upon presentation to A and E.
Patient Data
Age: 3 years
Gender: Female
From the case:
Hypoxic brain injury - white cerebellum sign
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Diffuse cerebral edema with loss of grey white matter differentiation.
Hyperdense cerebellum (white cerebellum sign/reversal sign).
The thalami are also relatively hyperdense compared to the cerebrum.
Case Discussion
Presence of the white cerebellum and reversal sign are compatible with the clinical diagnosis of a hypoxic brain injury.
Take note of the diffuse cerebral swelling as evidence by effacement of the sulci and cisterns, tightness of the ventricles and loss of grey white matter interface.
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