Hagenah J, Kopetsch C*, Scheer F, Jowaed A and Andresen R
Department of Neuroradiology, Institute of Diagnostic and Interventional Radiology/Neuroradiology, GermanyFulltext PDF
From Posttraumatic Stress Disorders (PTSD) to somatic disorders, when black dots show the difference. Long term ventilation because of respiratory insufficiency with saturation problems is commonly seen on intensive care units. We report about a young adult who was admitted to the ICU after respiratory failure and was ventilated for almost two weeks. After extubation the patient felt depressed, showed a panic facial expression and was clinically diagnosed with posttraumatic stress disorder. The following performed cMRI showed multiple microbleeds bihemispheral and were not caused by hypertension or cerebral amyloid angiopathy which are common causes for cerebral microbleeds in elderly patients. Cerebral microbleeds with predominance of the corpus callosum like they were seen in the above mentioned patient can typically be found in younger patients with diseases requiring intensive care, such as respiratory failure and are classified as critical illness-associated microbleeds. Although the connection between these hemorrhages and respiratory failure is not completely understood there are several theories regarding the aetiological cause. The following case report shows the patient‘s history with clinical findings and typical radiological ones of this rarer cause of cerebral microbleeds in comparison to the aetiology of microbleeds of known risk factors. Nevertheless it points out the importance for radiologists of knowing about the diversity of cerebral microbleeds.
Hagenah J, Kopetsch C, Scheer F, Jowaed A, Andresen R. Cerebral Microbleeds in a Teenage Patient after Respiratory Failure. Ann Clin Case Rep. 2020; 5: 1850..