Hypoxic ischemic encephalopathy following near drowning

Case contributed by Dr Chris O'Donnell

Presentation

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 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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Case information

rID: 20930
Published: 22nd Dec 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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