Hypoxic ischemic encephalopathy
Presentation
Cardiac arrest 15 minute downtime. Myoclonus. Rule out hypoxic ischemic injury.
Patient Data
Age: 90 years
Gender: Male
From the case:
Hypoxic ischemic encephalopathy
CT
Axial non-contrast
There is diffuse obscuration and mild edema of the cerebral and cerebellar hemispheres. There is hypodensity of the bilateral caudate nuclei.
From the case:
Hypoxic ischemic encephalopathy
CT
Comparison to two years prior
Axial non-contrast
Comparison to a prior exam shows a relatively normal appearance of the caudate nuclei (right arrows).
Case Discussion
Example of hypoxic ischemic encephalopathy/injury. The most striking appearances are diffuse grey white obscuration and hypodense caudate nuclei, which should normally be similar in density to cortical grey matter. The patient was palliated after this exam.
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