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Improved Detection of Heat Stroke-Induced Brain Injury by High B-Value Diffusion-Weighted Imaging

Kobayashi, Kentaro MD*; Tha, Khin Khin MD, PhD; Terae, Satoshi MD, PhD*; Iijima, Yuki MD*; Katabami, Kenichi MD; Minami, Yosuke MD; Uegaki, Shinji MD; Gando, Satoshi MD, PhD; Shirato, Hiroki MD, PhD

Journal of Computer Assisted Tomography: July-August 2011 - Volume 35 - Issue 4 - p 498-500
doi: 10.1097/RCT.0b013e3182220082
Neuroradiology

We report a case of heat stroke in which detection of brain injury was improved by high b-value diffusion-weighted imaging (DWI). High b-value DWI revealed moderate to marked hyperintensity at/around bilateral dentate nuclei and part of thalami. Apparent diffusion coefficient maps revealed apparent diffusion coefficient decrease of the dentate lesions. Routine DWI showed only mild hyperintensity of part of dentate lesions. High b-value DWI could be valuable for improved detection of heat stroke-induced brain injury.

From the *Departments of Diagnostic Radiology, †Radiobiology and Medical Engineering, and ‡Emergency and Critical Care Center, Hokkaido University Graduate School of Medicine, Sapporo, Japan.

Received for publication April 19, 2011; accepted April 28, 2011.

Reprints: Khin Khin Tha, MD, PhD, Department of Radiobiology and Medical Engineering, N-15, W-7, Kita-ku, Sapporo, 060-8638, Japan (e-mail: kktha@med.hokudai.ac.jp).

Sources of support: Nil.

© 2011 Lippincott Williams & Wilkins, Inc.