Iranian Journal of Radiology

Published by: Kowsar

MRI and MR Spectroscopy Features of Heat Stroke: A Case Report

Temel Fatih Yilmaz 1 , * , Ayse Aralasmak 1 , Huseyin Toprak 1 , Serhat Guler 2 , Umit Tuzun 1 and Alpay Alkan 1
Authors Information
1 Department of Radiology, Bezmialem Vakif University, Istanbul, Turkey
2 Department of Pediatric Neurology, Bezmialem Vakif University, Istanbul, Turkey
Article information
  • Iranian Journal of Radiology: July 2018, 15 (3); e62386
  • Published Online: April 25, 2018
  • Article Type: Case Report
  • Received: April 15, 2017
  • Revised: October 15, 2017
  • Accepted: December 24, 2017
  • DOI: 10.5812/iranjradiol.62386

To Cite: Fatih Yilmaz T, Aralasmak A, Toprak H, Guler S, Tuzun U, et al. MRI and MR Spectroscopy Features of Heat Stroke: A Case Report, Iran J Radiol. 2018 ; 15(3):e62386. doi: 10.5812/iranjradiol.62386.

Abstract
Copyright © 2018, Iranian Journal of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Introduction
2. Case Presentation
3. Discussion
Footnotes
References
  • 1. McLaughlin CT, Kane AG, Auber AE. MR imaging of heat stroke: external capsule and thalamic T1 shortening and cerebellar injury. AJNR Am J Neuroradiol. 2003;24(7):1372-5. [PubMed: 12917130].
  • 2. Leon LR, Helwig BG. Heat stroke: role of the systemic inflammatory response. J Appl Physiol (1985). 2010;109(6):1980-8. doi: 10.1152/japplphysiol.00301.2010. [PubMed: 20522730].
  • 3. Muccio CF, De Blasio E, Venditto M, Esposito G, Tassi R, Cerase A. Heat-stroke in an epileptic patient treated by topiramate: follow-up by magnetic resonance imaging including diffusion-weighted imaging with apparent diffusion coefficient measure. Clin Neurol Neurosurg. 2013;115(8):1558-60. doi: 10.1016/j.clineuro.2013.01.005. [PubMed: 23411048].
  • 4. Sudhakar PJ, Al-Hashimi H. Bilateral hippocampal hyperintensities: a new finding in MR imaging of heat stroke. Pediatr Radiol. 2007;37(12):1289-91. doi: 10.1007/s00247-007-0612-0. [PubMed: 17899057].
  • 5. Fushimi Y, Taki H, Kawai H, Togashi K. Abnormal hyperintensity in cerebellar efferent pathways on diffusion-weighted imaging in a patient with heat stroke. Clin Radiol. 2012;67(4):389-92. doi: 10.1016/j.crad.2011.09.009. [PubMed: 22119294].
  • 6. Ookura R, Shiro Y, Takai T, Okamoto M, Ogata M. Diffusion-weighted magnetic resonance imaging of a severe heat stroke patient complicated with severe cerebellar ataxia. Intern Med. 2009;48(12):1105-8. [PubMed: 19525609].
  • 7. Lee JS, Choi JC, Kang SY, Kang JH, Park JK. Heat stroke: increased signal intensity in the bilateral cerebellar dentate nuclei and splenium on diffusion-weighted MR imaging. AJNR Am J Neuroradiol. 2009;30(4). E58. doi: 10.3174/ajnr.A1432. [PubMed: 19179428].
  • 8. Fuse A, Yamashiro K, Oji Y, Furuya T, Noda K, Hattori N, et al. Reversible focal cerebral cortical lesions in a patient with heat stroke. Intern Med. 2013;52(3):377-80. [PubMed: 23370749].
  • 9. Mahajan S, Schucany WG. Symmetric bilateral caudate, hippocampal, cerebellar, and subcortical white matter MRI abnormalities in an adult patient with heat stroke. Proc (Bayl Univ Med Cent). 2008;21(4):433-6. [PubMed: 18982090].
  • 10. Ray S, Sharma S, Maheshwari A, Aneja S, Kumar A. Heat stroke in an infant with hypohidrotic ectodermal dysplasia: brain magnetic resonance imaging findings. J Child Neurol. 2013;28(4):538-40. doi: 10.1177/0883073812474097. [PubMed: 23358631].
  • 11. Fujioka Y, Yasui K, Hasegawa Y, Takahashi A, Sobue G. [An acute severe heat stroke patient showing abnormal diffuse high intensity of the cerebellar cortex in diffusion weighted image: a case report]. Rinsho Shinkeigaku. 2009;49(10):634-40. [PubMed: 19999144].
  • 12. Biary N, Madkour MM, Sharif H. Post-heatstroke parkinsonism and cerebellar dysfunction. Clin Neurol Neurosurg. 1995;97(1):55-7. [PubMed: 7788975].
  • 13. McNamee T, Forsythe S, Wollmann R, Ndukwu IM. Central pontine myelinolysis in a patient with classic heat stroke. Arch Neurol. 1997;54(8):935-6. [PubMed: 9267966].
  • 14. Deleu D, El Siddig A, Kamran S, Kamha AA, Al Omary IY, Zalabany HA. Downbeat nystagmus following classical heat stroke. Clin Neurol Neurosurg. 2005;108(1):102-4. doi: 10.1016/j.clineuro.2004.12.009. [PubMed: 16311159].
  • 15. Albukrek D, Bakon M, Moran DS, Faibel M, Epstein Y. Heat-stroke-induced cerebellar atrophy: clinical course, CT and MRI findings. Neuroradiology. 1997;39(3):195-7. [PubMed: 9106293].
  • 16. Bazille C, Megarbane B, Bensimhon D, Lavergne-Slove A, Baglin AC, Loirat P, et al. Brain damage after heat stroke. J Neuropathol Exp Neurol. 2005;64(11):970-5. [PubMed: 16254491].
  • 17. Akaboshi S, Miyashita A. [A case of heat stroke with cortical laminar necrosis on vascular boundary zones]. No To Hattatsu. 1996;28(5):434-7. [PubMed: 8831247].
  • 18. Li J, Zhang XY, Wang B, Zou ZM, Li HF, Wang PY, et al. Multivoxel proton magnetic resonance spectroscopy in heat stroke. Clin Radiol. 2015;70(1):37-41. doi: 10.1016/j.crad.2014.09.004. [PubMed: 25443777].
  • 19. Van Stavern GP, Biousse V, Newman NJ, Leingang JC. Downbeat nystagmus from heat stroke. J Neurol Neurosurg Psychiatry. 2000;69(3):403-4. [PubMed: 10991650].
  • 20. Campos F, Perez-Mato M, Agulla J, Blanco M, Barral D, Almeida A, et al. Glutamate excitoxicity is the key molecular mechanism which is influenced by body temperature during the acute phase of brain stroke. PLoS One. 2012;7(8). e44191. doi: 10.1371/journal.pone.0044191. [PubMed: 22952923].
  • 21. Barkovich AJ, Patay Z. Metabolic, toxic, and inflammatory brain disorders. In: Barkovich AJ, Raybaud C, editors. Pediatric Neuroimaging. 5th ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2012. 141 p.
  • 22. Mehta A, Prabhakar M, Kumar P, Deshmukh R, Sharma PL. Excitotoxicity: bridge to various triggers in neurodegenerative disorders. Eur J Pharmacol. 2013;698(1-3):6-18. doi: 10.1016/j.ejphar.2012.10.032. [PubMed: 23123057].
  • 23. Wang Y, Qin ZH. Molecular and cellular mechanisms of excitotoxic neuronal death. Apoptosis. 2010;15(11):1382-402. doi: 10.1007/s10495-010-0481-0. [PubMed: 20213199].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments