Bilateral putaminal necrosis due to methanol abuse.
Symmetrical lesions in the basal ganglia are accepted as the characteristic radiological feature of methanol toxicity. A case of chronic deliberate repeated methanol ingestion is presented. The typical MRI findings of basal ganglia lesions on T1 and T2 weighted images, FLAIR, diffusion and T1-weighted post Gadolinium images are presented. To our knowledge, this is the first case in which late diffusion and post contrast MRI images, showing necrotic sequelae due to methanol ingestion, are reported.
Dujardin
M
M
Department of Radiology/BEFY, Vrije Universiteit Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium. martine.dujardin@gmail.com
Peeters
E
E
Ernst
C
C
Stadnik
T
T
D001479:Basal Ganglia / Q000187:drug effects; D001480:Basal Ganglia Diseases / Q000139:chemically induced; D003287:Contrast Media; D003711:Demyelinating Diseases / Q000139:chemically induced; D038524:Diffusion Magnetic Resonance Imaging; D017352:Echo-Planar Imaging; D005260:Female; D005682:Gadolinium; D006801:Humans; D007089:Image Enhancement; D008279:Magnetic Resonance Imaging / Q000379:methods*; D000432:Methanol / Q000506:poisoning*; D008875:Middle Aged; D009336:Necrosis; D011699:Putamen / Q000187:drug effects* / Q000473:pathology; D012997:Solvents / Q000506:poisoning*
D003287:Contrast Media; D012997:Solvents; D005682:Gadolinium; D000432:Methanol