High Altitude Cerebral Edema—Serial MRI Findings

Slides:



Advertisements
Similar presentations
Variant Type of Posterior Reversible Encephalopathy Syndrome with Diffuse Cerebral White Matter and Brainstem Involvement Associated with Intracranial.
Advertisements

Joanna Coldron, MBChB, MRCP  Wilderness & Environmental Medicine 
Search and Rescue in Yosemite National Park: A 10-Year Review
Morteza Khodaee, MD, MPH, David R. Torres, MD 
Linda E. Keyes, MD, Peter H. Hackett, MD, Andrew M. Luks, MD 
Clinical Images Wilderness & Environmental Medicine
An Assessment of Coliform Bacteria in Water Sources Near Appalachian Trail Shelters Within the Great Smoky Mountains National Park  Brian C. Reed, MD,
Gabrielle Jacquet, MD, Tracy Cushing, MD, MPH 
Vanessa McGowan, MD, MS, Martin D. Hoffman, MD 
Reversible cerebral vasoconstriction syndrome
Cerebral Fat Embolism in Hemoglobin SC Disease
Jason D. Heiner, MD, Todd J. McArthur, MD 
Electronic Tablet Augmented Simulation: A Pilot Study
Toshinao Suzuki, MD, Toshihiko Takada, PhD, Junmei Fudoji, MD 
Central Nervous System Involvement in Cutaneous T-Cell Lymphoma: 2 Illustrative Cases and a Review of Current Literature  Ge Zhao, Marc C. Chamberlain,
Bitten by a Dragon Wilderness & Environmental Medicine
Improvised Method for Increasing the Temperature of an i-STAT Analyzer and Cartridge in Cold Environments  David Radler, MD  Wilderness & Environmental.
Vincentius J. A. Verlinden, MSc, Jos N
62-Year-Old Woman With Rapidly Evolving Dementia
Young Adult Male in a Coma
Wilderness Communications
Effective Tick Removal With a Fishing Line Knot
Search and Rescue in Yosemite National Park: A 10-Year Review
Joanna Coldron, MBChB, MRCP  Wilderness & Environmental Medicine 
Bruno Ernst Durrer, MD: January 14, 1953 to December 5, 2016
Gabrielle Jacquet, MD, Tracy Cushing, MD, MPH 
Dental Extractions Using Improvised Equipment
Dibbendhu Khanra, Arunansu Talukdar 
Toshinao Suzuki, MD, Toshihiko Takada, PhD, Junmei Fudoji, MD 
Volume 52, Issue 6, Pages (June 2015)
Calotropis gigantea Wilderness & Environmental Medicine
Shigeru Saito, MD, So-kichi Tanaka, MD 
Darin R. Goldman, MD, Andrew W. Seefeld, MD 
Recurrent Brachial Neuritis Attacks in Presentation of B-Cell Lymphoma
Management of a Wild Boar Wound: A Case Report
Black Widow Spider Envenomation, A Rare Cause of Horner's Syndrome
How Not to Train Your Dragon: A Case of a Komodo Dragon Bite
Pott’s Disease Resulting in Complete Cervical Vertebral Destruction
Forrest C. Wells, BS, Craig R. Warden, MD, MPH, MS 
Lisa Shah, MD  Journal of Pain and Symptom Management 
Chapter 16 Neurologic Dysfunction and Kidney Disease
Dental Extractions Using Improvised Equipment
Tribute to Jonna Barry Wilderness & Environmental Medicine
Vanessa McGowan, MD, MS, Martin D. Hoffman, MD 
Joanna Zurko, MD, Amitkumar Mehta, MD 
25-Year-Old Man With Recurring Headache and Confusion
Subtle Cognitive Dysfunction in Resolving High Altitude Cerebral Edema Revealed by a Clock Drawing Test  Ian Quigley, MBBS, Ken Zafren, MD  Wilderness.
Sailing Injury and Illness: Results of an Online Survey
Adverse Encounters With Alligators in the United States: An Update
Gregory D. Richardson, MD, Susanne J. Spano, MD 
Douglas McGraw, Stephen J. Gluckman, MD 
Emergent use of an MRI-conditional external pacemaker in a patient with sinus arrest facilitating diagnosis of a temporal lobe neoplasm  Erin M. McGuinn,
Randall T. Loder, MD  Wilderness & Environmental Medicine 
Palsy in the Desert Wilderness & Environmental Medicine
Kaustubh Limaye, MD, Ashutosh P. Jadhav, MD, PhD 
A Broken Leg in the Bugs Wilderness & Environmental Medicine
Inside Out: Bone Marrow Necrosis and Fat Embolism Complicating Sickle-β+ Thalassemia  Jori May, MD, Joseph C. Sullivan, MD, Daniel LaVie, MD, Katherine.
Spinal Cord Infarction Mimicking Angina Pectoris
Volume 48, Issue 1, Pages (January 2013)
Health of High Altitude Pilgrims: A Neglected Topic
William F. Rushton, MD, J. Priyanka Vakkalanka, ScM, James H
Joshua O. Stream, MD, Colin K. Grissom, MD 
Figure 2 Brain MRI at 1 year of age
Health of High Altitude Pilgrims: A Neglected Topic
Eelco F.M. Wijdicks, MD, Norbert Campeau, MD, Thoralf Sundt, MD 
Kevin M. Barrett, MD, William D. Freeman, MD  Mayo Clinic Proceedings 
Abnormalities in the Brain Before Elective Cardiac Surgery Detected by Diffusion- Weighted Magnetic Resonance Imaging  Kengo Maekawa, MD, Tomoko Goto,
Comparing Student Outcomes of Hybrid and Conventional Wilderness Emergency Medical Technician Programs  Joshua D. Martin, DNP, WEMT-P  Wilderness & Environmental.
Morteza Khodaee, MD, MPH, Jill Tirabassi, MD 
Figure 1 MRI at presentation The axial diffusion-weighted image (A) showed restricted diffusion throughout the cortical ribbon of the right hemisphere.
Presentation transcript:

High Altitude Cerebral Edema—Serial MRI Findings Ivaturi Venkata Nagesh, MD  Wilderness & Environmental Medicine  Volume 26, Issue 2, Pages 278-280 (June 2015) DOI: 10.1016/j.wem.2014.12.011 Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 1 (A) Chest radiograph anteroposterior view on day 1 showing patchy alveolar opacities in right middle, lower, and left upper zone with normal cardiac silhouette. (B) Follow-up chest radiograph after 7 days, showing complete resolution. Wilderness & Environmental Medicine 2015 26, 278-280DOI: (10.1016/j.wem.2014.12.011) Copyright © 2015 Wilderness Medical Society Terms and Conditions

Figure 2 (A) Fluid-attenuated inversion recovery axial scan on day 1 shows mild hyperintensity, in the splenium of the corpus callosum. (B) On diffusion-weighted imaging, b1000 shows bright signal in the posterior limb of internal capsule, splenium of the corpus callosum, deep white matter, and (C) dark signals on the apparent diffusion coefficient map. On follow-up magnetic resonance imaging after 6 days, (D) fluid-attenuated inversion recovery axial scan shows hyperintensity in the splenium of the corpus callosum, genu, and posterior limb of internal capsule. (E) On diffusion-weighted imaging, b1000 shows mildly bright signals in the splenium of the corpus callosum, normal appearance in the posterior limb of the internal capsule and deep white matter. (F) The apparent diffusion coefficient map shows near normal appearance. Wilderness & Environmental Medicine 2015 26, 278-280DOI: (10.1016/j.wem.2014.12.011) Copyright © 2015 Wilderness Medical Society Terms and Conditions