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Open Access Case report

Heat stress presenting with encephalopathy and MRI findings of diffuse cerebral injury and hemorrhage

Waldo R Guerrero*, Shaun Varghese, Sean Savitz and Tzu Ching Wu

Author Affiliations

Department of Neurology, University of Texas Medical School-Houston, UT Health, Houston, TX, USA

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BMC Neurology 2013, 13:63  doi:10.1186/1471-2377-13-63

Published: 17 June 2013



Heat stress results in multiorgan failure and CNS injury. There a few case reports in the literature on the neurological consequences of heat stress.

Case presentation

We describe a patient with heat stress presenting with encephalopathy and bilateral cerebral, cerebellar, and thalamic lesions and intraventricular hemorrhage on MRI.


Heat stress should be in the differential diagnosis of patients presenting with encephalopathy and elevated serum inflammatory markers especially if the history suggests a preceding episode of hyperthermia.

MRI; Heat; Stroke; Stress; Cerebellum; Ischemia