Hyperosmolar hyperglycemic state MRI: Difference between revisions

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{{Hyperosmolar hyperglycemic state}}
{{Hyperosmolar hyperglycemic state}}


{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{HS}}


==Overview==
==Overview==
MRI may be helpful in the workup of hyperosmolar hyperglycemic state to rule out conditions that present with an [[altered state of consciousness]] such as [[meningitis]], [[cerebral abscess]], [[encephalitis]] or [[stroke]]. MRI can also be helpful in the diagnosis of [[cerebral edema]] which can be a complication of the treatment hyperosmolar hyperglycemic state.
[[MRI]] may be helpful in the workup of hyperosmolar hyperglycemic state to rule out conditions that present with an [[altered state of consciousness]] such as [[meningitis]], [[cerebral abscess]], [[encephalitis]] or [[stroke]]. [[MRI]] may also aid in the diagnosis of [[cerebral edema]] which can be a complication of the treatment hyperosmolar hyperglycemic state (HHS).
 
==MRI==
==MRI==
* MRI may be helpful in the workup of hyperosmolar hyperglycemic state to rule out conditions that present with an [[altered state of consciousness]] such as [[meningitis]], [[cerebral abscess]], [[encephalitis]] or [[stroke]].
* [[MRI]] may be helpful in the workup of hyperosmolar hyperglycemic state (HHS) to rule out conditions that present with an [[altered state of consciousness]] such as [[meningitis]], [[cerebral abscess]], [[encephalitis]] or [[stroke]].
* MRI may also be helpful in the diagnosis of [[cerebral edema]] which can be a complication of the treatment hyperosmolar hyperglycemic state.
* [[MRI]] may also be helpful in the diagnosis of [[cerebral edema]] which can be a complication of the treatment hyperosmolar hyperglycemic state (HHS).
* MRI may show the following findings in case of [[cerebral edema]]:<ref name="pmid15289761">{{cite journal |vauthors=Glaser NS, Wootton-Gorges SL, Marcin JP, Buonocore MH, Dicarlo J, Neely EK, Barnes P, Bottomly J, Kuppermann N |title=Mechanism of cerebral edema in children with diabetic ketoacidosis |journal=J. Pediatr. |volume=145 |issue=2 |pages=164–71 |year=2004 |pmid=15289761 |doi=10.1016/j.jpeds.2004.03.045 |url=}}</ref>
* [[MRI]] may show the following findings in case of [[cerebral edema]]:<ref name="pmid15289761">{{cite journal |vauthors=Glaser NS, Wootton-Gorges SL, Marcin JP, Buonocore MH, Dicarlo J, Neely EK, Barnes P, Bottomly J, Kuppermann N |title=Mechanism of cerebral edema in children with diabetic ketoacidosis |journal=J. Pediatr. |volume=145 |issue=2 |pages=164–71 |year=2004 |pmid=15289761 |doi=10.1016/j.jpeds.2004.03.045 |url=}}</ref>
** Hyperattenuating signal on T2 [[Fluid attenuated inversion recovery|FLAIR]] [[MRI]]
** Hyperattenuating signal on T2 [[Fluid attenuated inversion recovery|FLAIR]] [[MRI]]
[[Image:Mri_ce.jpg|300px|left|frame|'''Hyperattenuating signal on T2 FLAIR MRI demonstrating cerebral edema''', source: slideshare.net]]
[[Image:Mri_ce.jpg|300px|left|frame|'''Hyperattenuating signal on T2 FLAIR MRI demonstrating cerebral edema''', source: slideshare.net]]
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[[Category:Medicine]]
[[Category:Endocrinology]]
[[Category:Up-To-Date]]​
[[Category:Emergency medicine]]
[[Category:Radiology]]

Latest revision as of 15:15, 17 October 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]

Overview

MRI may be helpful in the workup of hyperosmolar hyperglycemic state to rule out conditions that present with an altered state of consciousness such as meningitis, cerebral abscess, encephalitis or stroke. MRI may also aid in the diagnosis of cerebral edema which can be a complication of the treatment hyperosmolar hyperglycemic state (HHS).

MRI

Hyperattenuating signal on T2 FLAIR MRI demonstrating cerebral edema, source: slideshare.net


References

  1. Glaser NS, Wootton-Gorges SL, Marcin JP, Buonocore MH, Dicarlo J, Neely EK, Barnes P, Bottomly J, Kuppermann N (2004). "Mechanism of cerebral edema in children with diabetic ketoacidosis". J. Pediatr. 145 (2): 164–71. doi:10.1016/j.jpeds.2004.03.045. PMID 15289761.

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