title: Leukoencephalopathic changes on magnetic resonance imaging associated with a thermogenic dietary supplement (Thermatrim).
abstract: Acute toxic leukoencephalopathy can be caused by exposure to many compounds. Reversibility has been described in some cases with prompt recognition and withdrawal of the offending agent. Its association with a thermogenic supplement has never been reported. We describe two such cases in young women taking a commercially available thermogenic dietary supplement who presented with acute neurologic deficits and a common magnetic resonance imaging pattern.
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Cristina I
authors.initials: CI
authors.lastname: Olivas-Chacon
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Manuel
authors.initials: M
authors.lastname: Treviño-Garcia
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: John James
authors.initials: JJ
authors.lastname: Chua-Tuan
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Jose M
authors.initials: JM
authors.lastname: Rodriguez-Cordero
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Alfonso H
authors.initials: AH
authors.lastname: Gil-Valadez
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Nassim
authors.initials: N
authors.lastname: Akle
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Jesus E
authors.initials: JE
authors.lastname: Calleros
authors.affiliation: Department of Radiology, Texas Tech University Health Science Center, El Paso, Texas (Olivas-Chacon, Chua-Tuan, Akle, Calleros, Ramos-Duran); the Department of Radiology, Instituto Tecnológico y de Estudios Superiores de Monterrey and TecSalud, Mexico (Treviño-Garcia, Rodriguez-Cordero); Department of Neuroanatomy, Universidad Autónoma de Nuevo León, Mexico (Gil-Valadez).
authors.forename: Luis R
authors.initials: LR
authors.lastname: Ramos-Duran