ABSTRACT
No disponible
Subject(s)
Humans , Leukoencephalopathies/chemically induced , Methanol/toxicity , Putaminal Hemorrhage/chemically induced , Leukoencephalopathies/complications , Leukoencephalopathies/diagnostic imaging , Central Nervous System/pathology , Magnetic Resonance Spectroscopy/methods , Abdominal Pain/etiology , Putaminal Hemorrhage/diagnostic imagingSubject(s)
Acidosis/chemically induced , Brain Edema/chemically induced , Cerebral Hemorrhage/chemically induced , Methanol/poisoning , Solvents/poisoning , Subarachnoid Hemorrhage/chemically induced , Acidosis/diagnostic imaging , Brain/diagnostic imaging , Brain Death , Brain Edema/diagnostic imaging , Cerebral Hemorrhage/diagnostic imaging , Fatal Outcome , Humans , Male , Middle Aged , Putaminal Hemorrhage/chemically induced , Putaminal Hemorrhage/diagnostic imaging , Subarachnoid Hemorrhage/diagnostic imaging , Tomography, X-Ray ComputedSubject(s)
Methanol/poisoning , Putaminal Hemorrhage/chemically induced , Adult , Brain/diagnostic imaging , Brain/pathology , Glasgow Coma Scale , Humans , Magnetic Resonance Imaging , Male , Necrosis , Neuroimaging , Putamen/diagnostic imaging , Putamen/pathology , Putaminal Hemorrhage/diagnostic imaging , Putaminal Hemorrhage/pathology , Tomography, X-Ray ComputedSubject(s)
Blindness/chemically induced , Methanol/poisoning , Putamen/pathology , Putaminal Hemorrhage/chemically induced , Adult , Binge Drinking/complications , Humans , Magnetic Resonance Imaging , Male , Necrosis/chemically induced , Necrosis/diagnosis , Putaminal Hemorrhage/diagnosis , Recovery of FunctionABSTRACT
Methanol is a toxic substance with extremely devastating effects upon exposure. The case described suffered from such kind of poisoning. MRI brain demonstrated necrosis bilaterally in the Putamen areas which is a classic hallmark finding. Additional Diffusion weighted imaging showed abnormal signal bilaterally in the putamen areas along with Diffusion positive bilateral lesions (possibly infarctions) in both the frontal and occipital lobes that were not evident on MRI with or without contrast.
Subject(s)
Acidosis/chemically induced , Cerebral Infarction/chemically induced , Diffusion Magnetic Resonance Imaging , Methanol/poisoning , Putaminal Hemorrhage/diagnosis , Solvents/poisoning , Acidosis/diagnosis , Adult , Blindness/chemically induced , Brain/pathology , Cerebral Infarction/diagnosis , Humans , Male , Necrosis , Putamen/pathology , Putaminal Hemorrhage/chemically inducedABSTRACT
A 37-year-old man presented with perimesencephalic non-aneurysmal subarachnoid hemorrhage associated with cavernous sinus thrombosis. Anticoagulant therapy was administered to treat the cavernous sinus thrombosis, but provoked severe intracranial hemorrhage, severely disabling the patient. Perimesencephalic non-aneurysmal subarachnoid hemorrhage is a benign clinical entity with generally good prognosis, but the association with cavernous sinus thrombosis requires careful investigation prior to treatment.
Subject(s)
Anticoagulants/adverse effects , Cavernous Sinus Thrombosis/pathology , Cavernous Sinus/pathology , Mesencephalon/pathology , Subarachnoid Hemorrhage/pathology , Subarachnoid Space/pathology , Adult , Carotid Artery, Internal/pathology , Carotid Artery, Internal/physiopathology , Cavernous Sinus/diagnostic imaging , Cavernous Sinus/physiopathology , Cavernous Sinus Thrombosis/complications , Cavernous Sinus Thrombosis/diagnostic imaging , Cerebral Angiography , Disease Progression , Humans , Male , Mesencephalon/diagnostic imaging , Mesencephalon/physiopathology , Middle Cerebral Artery/drug effects , Middle Cerebral Artery/pathology , Middle Cerebral Artery/physiopathology , Putamen/blood supply , Putamen/pathology , Putaminal Hemorrhage/chemically induced , Putaminal Hemorrhage/physiopathology , Subarachnoid Hemorrhage/diagnostic imaging , Subarachnoid Hemorrhage/etiology , Subarachnoid Space/diagnostic imaging , Subarachnoid Space/physiopathology , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
We present the CT and MR imaging findings in acute methanol intoxication in a 35-year-old man who was admitted to the emergency department with weakness, blurred vision, mild bilateral areactive mydriasis, and a progressive decrease in the level of consciousness. CT and MR imaging showed bilateral putaminal hemorrhagic necrosis and subcortical white matter lesions with peripheral contrast enhancement. There was only partial improvement in patient's Glasgow Coma Scale score during follow-up.
