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- W2524074575 abstract "Objective: To report on the clinical course and radiological findings of a patient who suffered a thermal brain injury following prolonged hyperthermia in a sauna. Background: Heat stroke, an elevated core body temperature above 40 °C (104 °F) associated with altered mental function, can lead to irreversible damage to vulnerable areas of the central nervous system. A few radiological patterns of CNS involvement have been described in the literature. Methods: A 72-year-old man was found unconscious after spending 90 minutes in a sauna heated to 70 °C (158 °F). He was found to have a core temperature of 41 °C (106 °F) and a Glasgow Coma Scale of 3. He was admitted to the intensive care unit intubated for active cooling and supportive care. MR imaging of the brain revealed multiple foci of restricted diffusion in the central pons, midbrain, thalami, and the left posterior parietal periventricular region with co-located microhemorrhages in the pons and thalami on susceptibility-weighted imaging. Results: After a prolonged period of intubation there was an improvement in consciousness demonstrated by appropriate eye opening and closure to command, with concomitant ophthalmoparesis, bulbar dysfunction, and flaccid tetraparesis. Over the course of one month these deficits improved markedly with normalisation of eye movements, a return to walking and eating, but some mild persistent dysarthria and limb weakness (4/5) at time of discharge to rehabilitation. Progress MR imaging mirrored the clinical course with resolution of the restricted diffusion abnormalities and diminution of the microhemorrhages. Conclusions: We present a case of prolonged hyperthermia producing marked, reversible restricted diffusion in the thalami and brainstem and with a good clinical outcome despite the severity of the initial deficit and imaging findings. This report illustrates the potential reversibility of thermal brain insults and some of the characteristic findings of MR imaging. Disclosure: Dr. Fois has nothing to disclose. Dr. Farrar has nothing to disclose. Dr. Tisch has nothing to disclose." @default.
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- W2524074575 date "2016-04-05" @default.
- W2524074575 modified "2023-09-26" @default.
- W2524074575 title "Heat Stroke from Prolonged Sauna Producing Bilateral Thalamic and Brainstem Hyperintensities on Diffusion-Weighted MRI (P4.400)" @default.
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