Bilateral hippocampal hyperintensity and elevated cardiac enzyme levels due to exertional heat stroke

Heat stroke is a life-threatening illness with high mortality rates ranging from 21% to 63%, even though aggressive cooling and adequate treatment. It can lead to multiple organs damage. The neurologic, renal, gastrointestinal, hepatic, and hematologic involvements are common. The cardiac involvement is less found and most often, it causes the heart failure without elevated cardiac enzymes or electrocardiography (ECG) change. Even heat stroke universally involve the central nervous system, the reports of brain images after heat stroke are rare. We report a 12 year-old child who suffered from heat stroke with elevated cardiac enzymes with normal cardiac function and special magnetic resonance imaging (MRI) finding.