Evaluation of CT Finding in heat stroke patients
Keywords:
Heatstroke, CNS, Brain CTAbstract
Background: To describe the neurological manifestations and neuroimaging of heatstroke patients. Subjects and Methods: We extracted data retrospectively from patients’ files and described their neurological manifestations and radiological features. An experienced brain-imaging radiologist reviewed and analyzed patients’ radiographs to report on signs of abnormality. Results: This group included fifteen patients; eight males (53%) and seven females (47%), with an average age of (51.2 ± 10.1) years. Seven patients underwent brain imaging (CT scan), yet abnormal findings were detected in one patient images only. On the initial CT it showed bilateral thalamic and brainstem diffuse hypo densities. The follow-up CT scans showed acute hemorrhage in the pons and 4th ventricle. There was third intra-ventricular extension of blood, with mild hydrocephalus. Conclusion: The study presented non-specific neurological findings that were associated with heatstroke patients. These findings may affect management and potential complications prognosis.
Downloads
References
1. Y. Epstein1, W. O. Roberts. The pathophysiology of heat stroke: an integrative view of the final common pathway.Scand J Med SciSports 2011; 21:742–748.
2. B. Yaqub, S. Al-Deeb. Heat strokes: aetiopathogenesis, neurological characteristics, treatment and outcome.Journal of Neurological Sciences
1998;156: 144–151.
3. G M Varghese, G John, K Thomas, O C Abraham, D Mathai. Predictors of multi-organ dysfunction in heatstroke.Emerg Med J 2005;22:185– 187.
4. Theresa Pluth Yeo. Heatstroke: A comprehensive review. AACN Clinical Issues 2004; 15: 280-293.
5. T. Morimoto, S.Nakai and T. Itoh.Global Warming and Deaths from Heat Stroke, In:M. Kosaka et al. Thermotherapy for Neoplasia, Inflammation, and Pain 1st edn. New York Springer Japan; 2001. p107- 110.
6. G. Brücker.Vulnerable Populations: lessons learnt from the summer 2003 heat waves in Europe.Euro-surveillance, European Communicable Diseases Journal 2005; 10:147.
7. Q. A. Ahmed, Y. M. Arabi, Z. A. Memish.Health risks at the Hajj. Lancet 2006; 367: 1008–15.
8. Z. A. Memish. The Hajj: communicable and non-communicable health hazards and current guidance for pilgrims.Euro-surveillance 2010; 15:39.
9. R. Singh-Jain,S. Kumar,R.Agarwal andP. Kumar-Gupta. Acute Vertebrobasilar Territory Infarcts due to Heat Stroke. Journal of Stroke and Cerebrovascular Diseases2015; 24: 135–138.
10. J. Li, X. Zhang, Z. Zou, B. Wang, J. Xia, Heat stroke: typical MRI and 1H-MRS features. Clinical Imaging 2015; 39: 504–505.
