Frontal Lobe Thermal Injury Mimicking Cerebritis on Imaging

We present a case of a severe thermal injury leading to vasogenic edema that appears indistinguishable on CT scan from infectious cerebritis. Despite extensive damage seen on imaging, the patient did not exhibit neurological deficits expected for the injured brain region throughout the entire hospital stay. Long-term antibiotic therapy ultimately ruled out infection as the cause of extensive vasogenic edema on imaging, making thermal injury the etiology of exclusion. This case emphasizes the impact that severe burns can have on the central nervous system.

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Publication Details

Journal
Journal of Burn Care & Research
Published
2025-10-29
DOI
https://doi.org/10.1093/jbcr/iraf207
Primary Topic
Burn Injury Management and Outcomes
Type
article
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article

Frontal Lobe Thermal Injury Mimicking Cerebritis on Imaging

Lucas Bryant, Barret Halgas, Genesis Leon, Scott Sullivan
Journal of Burn Care & Research
Burn Injury Management and Outcomes
article

Frontal Lobe Thermal Injury Mimicking Cerebritis on Imaging

Lucas Bryant, Barret Halgas, Genesis Leon, Scott Sullivan
article en

Abstract

We present a case of a severe thermal injury leading to vasogenic edema that appears indistinguishable on CT scan from infectious cerebritis. Despite extensive damage seen on imaging, the patient did not exhibit neurological deficits expected for the injured brain region throughout the entire hospital stay. Long-term antibiotic therapy ultimately ruled out infection as the cause of extensive vasogenic edema on imaging, making thermal injury the etiology of exclusion. This case emphasizes the impact that severe burns can have on the central nervous system.

Journal of Burn Care & ResearchVol. 47(2)
United States Army Institute of Surgical Research (US)
Openalex Percentile: Top 58%
Burn Injury Management and Outcomes
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