[A clinical and pathological report of delayed encephalopathy after heat stroke].
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi
; 39(6): 450-452, 2021 Jun 20.
Article
em Zh
| MEDLINE
| ID: mdl-34218565
ABSTRACT
Objective:
To explore the clinical manifestations, dynamic neuroimaging changes and brain histopathologic characteristics of a patient with delayed encephalopathy after heat stroke.Methods:
In October 2019, the clinical manifestations, electroencephalogram, cerebrospinal fluid, imaging changes and brain histopathological characteristics of a patient with brain damage caused by heat stroke were retrospectively analyzed.Results:
The patient was a 40-year-old male who suddenly appeared dizziness, unconscious, high fever when working in the high temperature environment. The EEG showed diffuse slow wave activity. Early CT was normal, and abnormal signals gradually appeared in the basal ganglia region of the thalamus after a few days. In the late, the MRI found a large area of abnormal signals under the cerebral cortex, and white matter was involved. Pathological examination of brain biopsy showed that cortical neuron loss, loose white matter changes, and significant demyelination changes, while no inflammatory cell infiltration was observed in subarachnoid space, meninges, and dermal white matter.Conclusion:
Imaging examination dynamic changes of the delayed encephalopathy is important in the heat stroke, and the main pathological manifestation is demyelination.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Encefalopatias
/
Golpe de Calor
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
Zh
Ano de publicação:
2021
Tipo de documento:
Article