Diffusion-weighted magnetic resonance imaging of a severe heat stroke patient complicated with severe cerebellar ataxia.
A 78-year-old woman was admitted for severe heat stroke with brain damage. She was unconscious on arrival at the emergency room. Her armpit temperature was 42.0 degrees C and blood pressure was 76/25 mmHg. She was rapidly cooled and given intensive treatment. On magnetic resonance imaging, T1- and T2-weighted images showed no significant signals, but diffusion-weighted images demonstrated localized symmetrical injuries of the cerebellum and thalami. She gradually became conscious, but severe cerebellar ataxia persisted.
Ookura
Ryusuke
R
Department of Emergency Medicine, Kobe City Medical Center West Hospital, Kobe. ryusuke@rose.plala.or.jp
Shiro
Yoshihiko
Y
Takai
Tomoko
T
Okamoto
Miyuki
M
Ogata
Masaaki
M
D000368:Aged; D002524:Cerebellar Ataxia / Q000209:etiology*; D002531:Cerebellum / Q000473:pathology; D038524:Diffusion Magnetic Resonance Imaging; D005260:Female; D018883:Heat Stroke / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D013787:Thalamic Nuclei / Q000473:pathology