HOME > Weekly Case > Weekly Case
Weekly Case
종결
Case No. 526
2019-08-01~2019-08-31
출제자 : 강경미
Hit : 490
| Period | 2019-08-01~2019-08-31 |
|---|---|
| Diagnosis | Heat stroke Related Brain Injury |
| Gender |
|
| Age | 78 |
| Clinical information | M/78 Altered mentality(1HA) 진단은? |
| Discussion | (Initial body temperature : 41.3C) Heat stroke: Medical emergency defined by a body temperature greater than 40°C causing altered mental status and deterioration of multiple organ system Image finding of CNS involvement 1) MRI Diffusion restriction: Cerebellum, Thalami, Dentate nuclei, Bilateral SCP, Midbrain, cerebral cortices T1WI/T2WI : HSI of paraventricular thalamus, external capsule, cerebellum 2) CT Loss of Gray matter-White matter discrimination Cerebellar atrophy Mechanism Systemic cytokine increases BBB leakiness causing vasogenic edema Small vessel ischemia d/t augumented hemostasis and microvascular disease Direct toxic effect of heat on cerebellar purkinje cells Prognosis: poor (Mortaility rate : 10%-50%) |
| Correct answer |
Correct Answer
Semi-Correct Answer |