Hypoxic ischaemic 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
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
Published: 22nd Dec 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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