role of virtual autopsy in uncertain clinical scenarios

We present a case of a patient who was transferred from the general ward to the ICU in an unstable condition and passed away within approximately twenty-four hours without having had full investigations due to her unstable clinical condition. In the absence of necessary investigations, a virtual autopsy to search for a medical cause of her rapid deterioration was performed. The virtual autopsy revealed cardio-respiratory failure. Post-mortem computed tomography [PMCT] scans were performed, which revealed that the immediate cause of her deterioration was most likely to have been a myocardial infarction associated with pneumonia

Cerebral venous thrombosis and cerebral infarction: a rare disease with a rare cause

We present a case of cerebral venous thrombosis and cerebral infarction associated with diabetic ketoacidosis. The patient presented with vomiting, headache, lethargy and altered sensorium. CT venography provided the final diagnosis; therefore, anticoagulant was used, which resulted in the improvement of neurological outcome. Neurological deterioration during an episode of diabetic ketoacidosis is usually assumed to be caused by cerebral edema. Neuroimaging should always be performed in suspected cerebral edema associated with diabetic ketoacidosis in order to exclude other pathologies.