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Case - Global Hypoxia

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These are images demonstrating global hypoxia.

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These are images of a 53 year old

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male, status post cardiac arrest,

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who was minimally responsive.

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These are the diffusion weighted images

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and the ADC maps, and you can see there's

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diffusion restriction characterized

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by hyper intensity on the DWI and hypo

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intensity on the ADC maps in the cerebellum

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and throughout the cerebral cortex.

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And also involving the bilateral thalami,

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the bilateral basal ganglia, including

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the globus pallidus lentiform nucleus,

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which is globus pallidus imputamen, the

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caudate, and the entire cerebral cortex.

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It's kind of a super scan, there's

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too much gray white differentiation.

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The patient had had a tumor resected

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previously in the left temporal lobe.

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I'm going to also show you the

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T2 and flare weighted images.

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Again, there's diffuse swelling

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of the cerebellar cortex.

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The cerebral cortex and the basal ganglia,

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there's diffuse flare hyperintensity, there's

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diffuse T2 hyperintensity, again, mild swelling.

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Notice that the flow voids in the

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internal carotid arteries and the

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middle cerebral arteries and the

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basilar artery are still patent.

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So the prognosis is unclear

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depending on age and other factors.

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Some patients do not recover

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and some patients do.

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And you can also see these findings.

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On coronal diffusion weighted images, diffusion

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weighted images, ADC maps, again, showing

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the same findings involvement of the entire

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cerebellar and supratentorial cortex and

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involvement of the thalami and basal ganglia.

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The images can also be used in severe cases,

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you'll see susceptibility throughout the.

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Deep and superficial veins,

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but we don't see that here.

Report

Faculty

Pamela W Schaefer, MD, FACR

Professor of Radiology, Vice Chair of Education

Massachusetts General Hospital

Tags

Vascular Imaging

Neuroradiology

Neuro

MRI

Head and Neck

Brain

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