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Henoch-Schonlein Purpura
Joseph Junewick, MD FACR
over 4 years ago
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Hypoxic-Ischemic Injury

Case Detail

Anatomy: Brain-Spine
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 4 years ago
Updated: about 1 year ago
Tags: PEDS
Modality/Study Types: CT
Activities:
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History

Accidental asphyxiation in toddler.


Case Images


Diagnosis

Hypoxic-Ischemic Injury

Findings

CT – Axial and coronal images show symmetric lentifirm nuclei hypodensity

Discussion

Differential considerations for symmetric lentiform hypodensity include:
1) Toxic exposure (carbon monoxide, cyanide, methanol)
2) Nitrous waste accumulation (liver disease, portal hypertension, portosystemic shunts)
3) Non-ketotic hyperglycemia
4) Hypoglycemia
5) Hypoxic-ischemic disease
6) Metabolic disease (Leigh disease, Wilson disease, Hallervorden-Spatz disease)
7) Osmotic myelinolysis
8) Internal cerebral vein thrombosis
9) Encephalitis (Immune, viral)
10) Neoplasms (primary CNS lymphoma, glioma)

Contributor

Hedge AN, Mohan S, Lath N, et al. Differential Diagnosis for Bilateral Abnormalities of the Basal Ganglia and Thalamus. Radiographic (2011); 31(1):5-30.



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