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Diffuse Cerebral Edema from cardiac arrest

Kinn ENK - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Diffuse Cerebral Edema from cardiac arrest

History: 35 year old man presented to the emergency department with complaints of epigastric pain. He is diaphoretic, but otherwise appears in good health. During initial ER presentation patient became pulseless and was resuscitated for one hour, until a stable rhythm was established.

Findings: Noncontrast CT images demonstrate effacement of the the sulci. There is diffuse graying of the cerebral hemispheres with blurring and loss of normal gray-white differentiation and interface. The ventricles are small. Note that the cerebellum and brainstem are well preserved and have a normal appearance. Also note pansinusitis with air-fluid level in sphenoids.

Ddx: Any anoxic or hypoxic events - to include drowning, strangulation Closed Head Injury (These findings can be normal in premature infants)

Dxhow: Clinical and Radiologic

Exam: 12-lead EKG demonstrated marked ST elevations c/w an acute infarct.

No MeSH data available.


The gray matter blend imperceptively into the white matter - loss of gray-white discrimiation.  Also notice that the lateral borders of both ventricles are displaced medially - a sign of central herniation as the brain begins to "funnel" through the central opening in the tentorium.
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MPX1942_synpic4382: The gray matter blend imperceptively into the white matter - loss of gray-white discrimiation. Also notice that the lateral borders of both ventricles are displaced medially - a sign of central herniation as the brain begins to "funnel" through the central opening in the tentorium.


Diffuse Cerebral Edema from cardiac arrest

Kinn ENK - MedPix

The gray matter blend imperceptively into the white matter - loss of gray-white discrimiation.  Also notice that the lateral borders of both ventricles are displaced medially - a sign of central herniation as the brain begins to "funnel" through the central opening in the tentorium.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1942&req=5

MPX1942_synpic4382: The gray matter blend imperceptively into the white matter - loss of gray-white discrimiation. Also notice that the lateral borders of both ventricles are displaced medially - a sign of central herniation as the brain begins to "funnel" through the central opening in the tentorium.

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Diffuse Cerebral Edema from cardiac arrest

History: 35 year old man presented to the emergency department with complaints of epigastric pain. He is diaphoretic, but otherwise appears in good health. During initial ER presentation patient became pulseless and was resuscitated for one hour, until a stable rhythm was established.

Findings: Noncontrast CT images demonstrate effacement of the the sulci. There is diffuse graying of the cerebral hemispheres with blurring and loss of normal gray-white differentiation and interface. The ventricles are small. Note that the cerebellum and brainstem are well preserved and have a normal appearance. Also note pansinusitis with air-fluid level in sphenoids.

Ddx: Any anoxic or hypoxic events - to include drowning, strangulation Closed Head Injury (These findings can be normal in premature infants)

Dxhow: Clinical and Radiologic

Exam: 12-lead EKG demonstrated marked ST elevations c/w an acute infarct.

No MeSH data available.