title: [Reversible brain damage following acute poisoning with an organic solvent determined by magnetic resonance].
abstract: BACKGROUND
  Acute exposure to the effects of volatile solvents is characterized by the abrupt onset of symptoms and signs of poisoning, and relatively fast recovery in the majority of cases.
  
  
  METHODS
  We report a 24-year-old patient with an acute, accidental poisoning with a mixture of volatile organic solvents (most probably toluene, styrene and xylene), which led to the development of upward gaze paresis, diplopia, hemiparesis, ataxic gate, and the late onset truncal ataxia episodes. After 6 weeks, he recovered completely, while his extensive brain MRI lesions in the caudate nuclei, laterobasal putaminal regions, bilateral anterior insular cortex, central midbrain tegmental area) withdrew completely after 4 months.
  
  
  CONCLUSIONS
  Acute toxic encephalopathy should be a part of the differential diagnosis in any patient with acute neurobehavioral and neurological deficit.
authors.affiliation: Klinicki centar Srbije, Institut za neurologiju, Beograd, Srbija i Crna Gora. marinas@imi.bg.ac.yu
authors.forename: Irena
authors.initials: I
authors.lastname: Dujmović
authors.forename: Marina
authors.initials: M
authors.lastname: Svetel
authors.forename: Igor
authors.initials: I
authors.lastname: Petrović
authors.forename: Elka
authors.initials: E
authors.lastname: Stefanova
authors.forename: Katarina
authors.initials: K
authors.lastname: Koprivsek
authors.forename: Dusko
authors.initials: D
authors.lastname: Kozić
authors.forename: Vladimir
authors.initials: V
authors.lastname: Kostić
mesh_terms: D000208:Acute Disease; D000328:Adult; D001921:Brain / Q000473:pathology; D001927:Brain Diseases / Q000139:chemically induced* / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012997:Solvents / Q000506:poisoning*
chemical_list: D012997:Solvents