Hypoxic ischaemic encephalopathy following near drowing

Case contributed by Dr Chris O'Donnell

Presentation

Found at the bottom of a swimming pool, rescued

Patient Data

Age: 30
Gender: Male
Diffuse brain swelling with loss of grey-white matter differentiation.  Note slightly "hyperdense" basal meninges - pseudosubarachnoid haemorrhage.  Fluid is present in the paranasal from the near drowning.

Case Discussion

HIE is called such as the brain changes are due to a combination of hypoxia and ischaemia from poor blood flow to the brain.  Pathologists now think that the ischaemic features are more important than ischaemia especially in children hence the emphasis on restoring blood flow during CPR

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Case Information

rID: 20930
Case created: 22nd Dec 2012
Last edited: 16th Nov 2015
Inclusion in quiz mode: Included

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