Fatal cerebral edema and intracranial hemorrhage associated with hypernatremic dehydration.
We report neuroimaging findings of intracranial hemorrhage and cerebral edema in an infant with obtundation and seizures, initially suspected to be secondary to non-accidental trauma but finally attributed to hypernatremic dehydration. Neuroimaging findings due to hypernatremic dehydration have not been previously described in the radiologic literature. Hypernatremia should be included in the differential diagnosis of intracranial hemorrhage in the infant without evidence of nonaccidental trauma.
Mocharla
R
R
Department of Radiology, Slot 105, Arkansas Children's Hospital, 800 Marshall Street, Litte Rock, AR 72202-3591, USA.
Schexnayder
S M
SM
Glasier
C M
CM
D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology*; D001930:Brain Injuries / Q000175:diagnosis; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology*; D003681:Dehydration / Q000150:complications*; D003937:Diagnosis, Differential; D004453:Echoencephalography; D006801:Humans; D006955:Hypernatremia / Q000150:complications*; D007223:Infant; D008297:Male; D014057:Tomography, X-Ray Computed