Hypoxic ischemic encephalopathy following near drowning

Case contributed by Dr Chris O'Donnell


Found at the bottom of a swimming pool, rescued

Patient Data

Age: 30 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Diffuse brain swelling with loss of grey-white matter differentiation.  Note slightly "hyperdense" basal meninges - pseudosubarachnoid hemorrhage.  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 ischemia from poor blood flow to the brain.  Pathologists now think that the ischemic features are more important than ischemia especially in children hence the emphasis on restoring blood flow during CPR

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