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Is hypoxia visible in an MRI years later?

Hello Mrs./Mr. Doctor, I have a concern regarding cerebral hypoxia. If the PO2 is 17.2 (capillary) and 30 minutes later PO2 is 10 (capillary) with an oxygen saturation value of 30% (capillary), does this automatically indicate cerebral hypoxia? (I know arterial values are more reliable, but conclusions can also be drawn with capillary values and yes, these values were actually measured).

The reason for my concern is that on the day of my birth, due to an event, my PO2 dropped to these values and this condition lasted for at least 30 minutes. Amniotic fluid entered my circulation, but fortunately only in small amounts (if you can call it fortunate).

Over the years, especially upon reentering the workforce, I noticed that I would lose my train of thought in the middle of speaking, not knowing how to continue. It became a frequent occurrence in everyday life. This condition has persisted until today, leading some doctors to assume I may have or develop schizophrenia (although I do not experience delusions or paranoia in this context).

In the last 2-3 years, I have noticed that I sometimes struggle to name an object within a second or find the right word quickly.

For example, "I was reading a book with my daughter, with pictures and terms. For some of the pictures, I had to think longer about what they were, for example, there was a tent in the book. It took me some time to remember that it was just an Indian living in it. The simple logic of the Indian did not come to mind, and I struggled to recall the right word. The name of a colleague who had been working with us for years only came to me after about 15 minutes of intense thinking.

I also experience difficulties with concentration and attention at work on a regular basis.

Additionally, recalling information or intensive memorization is more challenging for me since the birth of my daughter. This was not an issue before her birth.

These mentioned conditions, as well as others not listed (although not of great severity), are very distressing in daily life. My surroundings have also noticed these changes, and I have been approached about them, particularly in the workplace, where they are negatively perceived.

Specific question: If I were to have an MRI of the brain, would anything be visible? Or would anything only be visible if I had suffered a hypoxic brain injury?

Wouldn't there be some indication in the MRI due to the above symptoms compared to someone who did not have hypoxia?

Thank you for your response.

Dr. med. Frauke Gehring

Good evening,

Not all cell malfunctions lead to visually noticeable changes. These can only be seen in an MRI if the hypoxia has led to actual cell death. It is not possible to determine how severe the consequences of hypoxia in the brain will be based on blood gas analysis, because the body centralizes the blood, resulting in poorer oxygen supply to the periphery and better oxygen supply to the brain.

But your symptoms have absolutely nothing to do with schizophrenia.
All the best!

Sincerely, Dr. Höllering

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Experte für Neurology

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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