Hypoxic-ischaemic brain injury

Case contributed by Dr Hien The Nguyen

Presentation

Deep coma after ventricular fibrillation.

Patient Data

Age: 80 years
Gender: Female
CT

There is a generalised decreased attenuation of cerebral parenchyma, cerebral trunk and cerebellum with effacement of the sulci and loss of grey-white matter differentiation, which characterize a diffused cerebral oedema. A relatively increased attenuation of the basal cisterns and of cerebral sulci compared to cerebral parenchyma, giving the “pseudo subarachnoid haemorrhage” appearance.

Case Discussion

The findings are consistent with a hypoxic-ischemic brain injury.

Her vital signs were stable after intensive treatment but her family members insisted on bringing her home so that the mornitoring was not able to be performed.

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Case information

rID: 57683
Published: 15th Jan 2018
Last edited: 16th Jan 2018
Inclusion in quiz mode: Excluded
Institution: Pham Ngoc Thach University of Medicine

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