Cerebral edema

Synonyms
Hirnschwellung

Cerebral edema is swelling of the brain that can have various causes. The resulting increase in volume can lead to an increase in intracranial pressure, which can be fatal.

Classification

Cerebral edema is classified etiologically as either cytotoxic or vasogenic cerebral edema. With regard to localization, a distinction is made between focal cerebral edema, which may occur, for example, around brain tumors, and generalized cerebral edema, which affects the entire brain. Generalized cerebral edema may, for example, result from a traumatic brain injury.

Imaging

Cerebral edema can be visualized on CT as well as MRI, although MRI allows for a more precise assessment of cerebral edema.

Generalized cerebral edema on CT
Axial CT image of a patient with generalized cerebral edema, loss of gray-white matter differentiation, and effacement of the basal cisterns.

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