Abstract Heat stroke is defined as an elevated core body temperature of > 40°C or > 104°F with neurological dysfunction and/or end-organ damage in a patient exposed to extremes of heat. There is an amalgamation of various physiological and pathological processes occurring concomitantly, and their understanding is cardinal for comprehension of the patterns on imaging. An array of central nervous system findings on magnetic resonance imaging (MRI) has been described. Moreover, different patterns of involvement on conventional MRI and findings on advanced MRI sequences facilitate understanding the underlying pathophysiological processes. In this case, there was involvement of bilateral basal ganglion, gyri, and subcortical white matter in bilateral insular cortex, basifrontal cortex, posterior temporal lobe, and occipital lobe, which demonstrated T2/fluid-attenuated inversion recovery hyperintensities. These help in prognostication, as well as to predict the remnant neurological deficit once the patient recovers. Thus, including imaging in the management protocol augment decision making, thus, in turn improve patient care and decrease morbidity.
Mehra et al. (Thu,) studied this question.