Bipallidal haemorrhage after ethylene glycol intoxication.
Acute or subacute bipallidal lesion, an uncommon radiological feature produced by metabolic disorders or poisoning, has never been attributed to ethylene glycol (EG) intoxication. This 50-year-old Afro-Caribbean alcoholic man had unexplained loss of consciousness. Blood tests showed osmolar gap. Drug screening was positive for EG at 6.06 mmol/l. Brain CT revealed bilateral pallidal haemorrhage. Pallidal haematoma, which could be related to deposition of oxalate crystals issued from EG metabolism, should lead to toxicological screening.
Caparros-Lefebvre
D
D
Service de Neurologie, CHU Pointe à Pitre, Guadeloupe 623, Av de la République, 59800 Lille, France. dcaparros@nordnet.fr
Policard
J
J
Sengler
C
C
Benabdallah
E
E
Colombani
S
S
Rigal
M
M
D020145:Basal Ganglia Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging* / Q000628:therapy; D019855:Ethylene Glycol / Q000506:poisoning*; D005917:Globus Pallidus; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography
D019855:Ethylene Glycol