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Case - Carbon Monoxide Poisoning

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This is an example of carbon monoxide poisoning.

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These are images of a 49-year-old male who is

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found in his camper, minimally responsive

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next to a charcoal grill.

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So, the concern was carbon monoxide poisoning.

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These are the diffusion-weighted images and ADC Maps.

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The cerebellum looks normal,

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temporal lobes, frontal lobes look normal,

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but as we get to the basal ganglia,

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you can see restricted diffusion characterized

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by hyperintensity on the diffusion-weighted

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images and hypo-intensity on the ADC maps

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in the bilateral Globus pallidus.

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Rest of the brain looks normal,

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except there are tiny foci of restricted

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diffusion peripherally,

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but given that he was exposed to carbon monoxide,

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which again replaces oxygen

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on the hemoglobin molecule so that you get hypoxic.

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These findings are consistent with

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early carbon monoxide poisoning.

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When it gets more severe, it will involve the

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rest of the deep gray nuclei and cortex.

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We can also see these findings on the FLAIR

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and T2-weighted images,

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where they are characterized by hyperintensity

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in the bilateral Globus Pallidus.

Report

Faculty

Pamela W Schaefer, MD, FACR

Professor of Radiology, Vice Chair of Education

Massachusetts General Hospital

Tags

Vascular Imaging

Perfusion

Neuroradiology

Neuro

MRP

MRI

MRA

Head and Neck

CTP

CTA

CT

Brain

Angiography

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