Neuro_MR_Brain: 68 M, unresponsive, coded.
MRI BRAIN STROKE PROTOCOL WITH AND WITHOUT CONTRAST:
CLINICAL HISTORY: 66-year-old patient with acute loss of consciousness, no CPR for 10 minutes, status post hypothermia
protocol and rewarming, now in ICU with epileptiform activity and unresponsiveness.
FINDINGS:
BRAIN:
Parenchyma:
Widespread cortical restricted diffusion is seen in the cerebral hemispheres most notably in the bilateral occipital lobes, caudate head and left frontal and parietal lobes. No evidence of hemorrhage. Scattered T2 hyperintense foci in the periventricular and subcortical white matter of the bilateral cerebral hemispheres without associated mass effect are nonspecific but compatible with chronic microvascular ischemic disease.Ventricles and extra-axial spaces: Appropriate for age.
Orbits: Normal.
Visualized paranasal sinuses: Clear.
Mastoid air cells: Bilateral mastoid effusions.
Bones: Normal.
Additional comment: None.
INTRACRANIAL ANGIOGRAM:
Anterior circulation: No flow-limiting stenosis or aneurysm.
Posterior circulation: No flow-limiting stenosis or aneurysm.
Additional comment: None.
PERFUSION:
Diffusely increased perfusion is seen to the cerebral hemispheres with relative sparing of the right frontal lobe, deep gray nuclei, and cerebellum.
IMPRESSION:
1. Widespread cortical restricted diffusion involving most notably involving the bilateral occipital lobes, left frontal and parietal
lobes, and caudate heads, with associated increased perfusion. Findings compatible with hypoxic ischemic injury.
2. No flow-limiting stenosis.
Accession: CL27388568
Study description: MR BRAIN
