title: Severe ethylene glycol intoxication mimicking acute basilar artery occlusion.
abstract: We report a patient with severe ethylene glycol poisoning initially mimicking acute basilar artery occlusion and elucidate the importance of immediate diagnosis and treatment: a previously healthy 59-year-old truck driver presenting with hallmarks of basilar artery syndrome after having consumed an unknown substance. Immediate application of intravenous ethanol and hemodialysis could not prevent the development of a malignant brain edema within hours. This report describes a new clinical presentation of severe ethylene glycol intoxication mimicking acute basilar artery occlusion with the development of a fatal brain edema within hours, despite adequate treatment.
authors.affiliation: Department of Neurology, University of Heidelberg, Heidelberg, Germany. hagen.huttner@med.uni-heidelberg.de
authors.forename: Hagen B
authors.initials: HB
authors.lastname: Huttner
authors.forename: Christian
authors.initials: C
authors.lastname: Berger
authors.forename: Stefan
authors.initials: S
authors.lastname: Schwab
mesh_terms: D000136:Acid-Base Equilibrium; D001929:Brain Edema / Q000139:chemically induced / Q000000981:diagnostic imaging; D019855:Ethylene Glycol / Q000506:poisoning*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014715:Vertebrobasilar Insufficiency / Q000175:diagnosis*
chemical_list: D019855:Ethylene Glycol