Severe ethylene glycol intoxication mimicking acute basilar artery occlusion.
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.
Huttner
Hagen B
HB
Department of Neurology, University of Heidelberg, Heidelberg, Germany. hagen.huttner@med.uni-heidelberg.de
Berger
Christian
C
Schwab
Stefan
S
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*
D019855:Ethylene Glycol