Document Detail

CT scan abnormalities in a series of patients with hemorrhagic shock and encephalopathy syndrome.
MedLine Citation:
PMID:  9174029     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Hemorrhagic shock and encephalopathy syndrome (HSES) affects children under 1 year of age and is characterized by seizures, shock and certain laboratory abnormalities, including coagulation abnormalities. It has a high mortality and many of the survivors are neurologically abnormal. OBJECTIVE: To describe abnormalities observed on initial and follow-up CT scans in a group of patients suffering from HSES. MATERIALS AND METHODS: Retrospective review of records and CT scans of ten patients with HSES who were admitted to the intensive care unit of the Children's Hospital and Medical Center, Seattle. RESULTS: Cerebral edema was seen in all cases when the CT scan was obtained between 1 and 7 days after onset of HSES. The basal ganglia and cerebellum were relatively spared, and no hemorrhage was seen. Patients with moderate or marked cerebral edema usually had a poor prognosis. All survivors had significant neurologic sequelae. CT scans obtained after 7 days often showed encephalomalacia with ex vacuo ventricular enlargement. CT scans obtained between 24 h and 4 days after onset will show the acute changes of HSES. CT scans during the initial and convalescent stages of HSES can provide useful information about cerebral edema and encephalomalacia, which occur frequently with this illness.
D S Jardine; W D Winters; D W Shaw
Related Documents :
1355279 - Infantile acute encephalopathy with combined symmetrical hypodensities in the thalami a...
2119589 - Ct, mri, and autopsy findings in brain of a patient with melas.
2287389 - Germinoma originating in the basal ganglia. report of a case showing unusual appearance...
20625089 - Renal failure and posterior reversible encephalopathy syndrome in patients with thrombo...
10608689 - Computed tomography of necrotizing meningoencephalitis in 3 yorkshire terriers.
9174029 - Ct scan abnormalities in a series of patients with hemorrhagic shock and encephalopathy...
19896069 - Effect of cad on radiologists' detection of lung nodules on thoracic ct scans: analysis...
20229899 - Evaluation of z-axis resolution and image noise for nonconstant velocity spiral ct data...
11602009 - Reproducibility of interactive registration of 3d ct and mr pediatric treatment plannin...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric radiology     Volume:  27     ISSN:  0301-0449     ISO Abbreviation:  Pediatr Radiol     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-07-28     Completed Date:  1997-07-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0365332     Medline TA:  Pediatr Radiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  540-4     Citation Subset:  IM    
Department of Anesthesiology and Intensive Care, Children's Hospital and Medical Center, 4800 Sand Point Way NE, Seattle, WA 98105, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Brain / radiography
Brain Diseases / complications,  radiography*
Brain Edema / radiography
Encephalomalacia / radiography
Retrospective Studies
Shock, Hemorrhagic / complications,  radiography*
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Disappearing fetal lung masses: importance of postnatal imaging studies.
Next Document:  Fast fluid-attenuated inversion recovery (FLAIR) magnetic resonance imaging of the brain: a comparis...