Anoxic Brain Damage
Condition
(Anoxic Brain Injury; Hypoxic Brain Injury)
Definition
Anoxic brain damage (ABD) is harm to the brain due to a lack of oxygen. Brain cells that do not have enough oxygen will start to die after about 4 minutes.
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Causes
Oxygen is carried to the brain in the blood. ABD is when:
- Blood flow is blocked or slowed due to:
- A clot or stroke
- Shock and heart problems, like a heart attack
- Blood flow is normal, but the blood does not have enough oxygen due to:
- Lung disease
- A lack of oxygen in the air—this may happen at high altitudes
- Being around certain poisons, such as carbon monoxide
- An event that is stopping breathing, such as drowning, choking, or suffocation
Risk Factors
Problems that may raise the risk of ABD are:
- Sudden cardiac arrest or heart attack
- Choking
- Suffocation
- Drowning
- Electrical shock
- Broken gas appliances that discharge carbon monoxide
- Heart arrhythmia
- Stroke
- Drug use
Symptoms
Problems may be:
- Headache
- Problems with thinking and focus
- Mood swings
- Loss of consciousness
- Seizures
- Clumsiness
- Coma
- A decline in brain function days or weeks after the event (this is rare)
Diagnosis
The doctor will ask about symptoms and health history. A physical exam will be done. A doctor who treats brain problems may need to be seen.
These tests may be done to find out more about problems with how the brain is working:
- CT scan
- MRI scan
- Electroencephalogram (EEG)—a test that measures the electricity in the brain
- Single-photon emission computed tomography (SPECT) scans—a type of CT scan that looks at parts of the brain
- Evoked potential tests—tests used to check the senses
Treatment
Prevention
ABD is often caused by accidents. These cannot always be prevented.
Initial Treatment
Treatment will depend on the cause. Choices are:
- Oxygen to raise the amount of oxygen in the blood
- Medicine to help get enough blood with oxygen to the brain
- Cooling the brain to limit problems
Brain Injury Association of America
National Institute of Neurological Disorders and Stroke
CANADIAN RESOURCES:
Ontario Brain Injury Association
Health Canada
Brain Injury Association of America
National Institute of Neurological Disorders and Stroke
CANADIAN RESOURCES:
Ontario Brain Injury Association
Health Canada
References
- Cerebral hypoxia. National Institute of Neurological Disorders and Stroke website. Available at: https://www.ninds.nih.gov/health-information/disorders/cerebral-hypoxia.
- Hypoxic-ischemic brain injury in adults. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/hypoxic-ischemic-brain-injury-in-adults.
- Rubinos, C. and Ruland, S. Neurologic complications in the intensive care unit. Curr Neurol Neurosci Rep, 2016; 16 (6): 57.
Contributors
- Rimas Lukas, MD
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