PT - JOURNAL ARTICLE AU - R M Varnell AU - G K Stimac AU - C L Fligner TI - CT diagnosis of toxic brain injury in cyanide poisoning: considerations for forensic medicine. DP - 1987 Nov 01 TA - American Journal of Neuroradiology PG - 1063--1066 VI - 8 IP - 6 4099 - http://www.ajnr.org/content/8/6/1063.short 4100 - http://www.ajnr.org/content/8/6/1063.full SO - Am. J. Neuroradiol.1987 Nov 01; 8 AB - Two deaths occurred after ingestion of cyanide-containing Extra-Strength Excedrin capsules. Cranial CT scans obtained within 3 hr of each patient's collapse showed diffuse cerebral swelling and loss of gray-white differentiation. Most diffuse cerebral insults (hypoxia, ischemia) do not show such changes so soon after injury. The early onset of diffuse cerebral edema with loss of gray-white differentiation may be a clue to the diagnosis of acute cyanide poisoning.