Hypoxic ischaemic encephalopathy

Case contributed by Dr Varun Babu

Presentation

Post cardiac arrest collapse, revived, but remains unconscious

Patient Data

Age: 55 years
Gender: Male

Diffuse gyriform diffusion restriction involving supratentorial cortex with involvement deep grey matter nuclei. Focal hemorrhage in the genu of corpus callosum. Preferential sparing of brain stem and cerebellum with a normal angiogram study.

Case Discussion

Acute global ischemic insult is typified in this case following a cardiac arrest wherein the vital structures of the brain confined to the posterior fossa are selectively spared from insult whilst the supratentorial neuroparenchyma takes the brunt of the insult. Focal hemorrhage in the genu of corpus callosum could be a sequelae of anticoagulants administered to avert prothrombotic state. 

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Case information

rID: 51581
Case created: 27th Feb 2017
Last edited: 27th Feb 2017
Inclusion in quiz mode: Included

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