title: CT diagnosis of toxic brain injury in cyanide poisoning: considerations for forensic medicine.
abstract: Two deaths occurred after ingestion of cyanide-containing Extra-Strength Excedrin capsules. Cranial CT scans obtained within 3 hr of each patient's collapse showed diffuse cerebral swelling and loss of gray-white differentiation. Most diffuse cerebral insults (hypoxia, ischemia) do not show such changes so soon after injury. The early onset of diffuse cerebral edema with loss of gray-white differentiation may be a clue to the diagnosis of acute cyanide poisoning.
mesh_terms: D001929:Brain Edema / Q000139:chemically induced* / Q000000981:diagnostic imaging; D003486:Cyanides / Q000506:poisoning*; D003937:Diagnosis, Differential; D005260:Female; D006708:Homicide; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D003486:Cyanides