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Methanol intoxication, putamen infarction

Smirniotopoulos, M.D. JGSM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Methanol intoxication, putamen infarction

History: 42 y.o. alcoholic man who works as a carpenter, found down in his workshop on Monday morning.

Findings: Bilateral abnormal hyperintensity in the lateral lenticular nuclei (putamen).

Ddx: Dilateral symmetric BG lesions ->Toxic-metabolic insult: poisoning organic alcohol (methanol, ethylene glycol, etc.) hypoxia hypoglycemia non-ketotic hyperglycemia

Dxhow: Blood MeOH levels

Exam: Profound metabolic acidosis, depressed mental status, and bilateral ("cortical") blindness.

No MeSH data available.


The diffuse bilateral abnormalities make this is a potentially confusing image.  What pulse sequence? CSF is bright and scalp fat is darker - so it is a T2W MRI.  There are bilateral abnormal hyperintensities in the lateral lenticular nuclei (putamen) and the caudate.
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MPX2384_synpic60013: The diffuse bilateral abnormalities make this is a potentially confusing image. What pulse sequence? CSF is bright and scalp fat is darker - so it is a T2W MRI. There are bilateral abnormal hyperintensities in the lateral lenticular nuclei (putamen) and the caudate.


Methanol intoxication, putamen infarction

Smirniotopoulos, M.D. JGSM - MedPix

The diffuse bilateral abnormalities make this is a potentially confusing image.  What pulse sequence? CSF is bright and scalp fat is darker - so it is a T2W MRI.  There are bilateral abnormal hyperintensities in the lateral lenticular nuclei (putamen) and the caudate.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2384&req=5

MPX2384_synpic60013: The diffuse bilateral abnormalities make this is a potentially confusing image. What pulse sequence? CSF is bright and scalp fat is darker - so it is a T2W MRI. There are bilateral abnormal hyperintensities in the lateral lenticular nuclei (putamen) and the caudate.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Methanol intoxication, putamen infarction

History: 42 y.o. alcoholic man who works as a carpenter, found down in his workshop on Monday morning.

Findings: Bilateral abnormal hyperintensity in the lateral lenticular nuclei (putamen).

Ddx: Dilateral symmetric BG lesions ->Toxic-metabolic insult: poisoning organic alcohol (methanol, ethylene glycol, etc.) hypoxia hypoglycemia non-ketotic hyperglycemia

Dxhow: Blood MeOH levels

Exam: Profound metabolic acidosis, depressed mental status, and bilateral ("cortical") blindness.

No MeSH data available.