Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Methanol-Induced Encephalopathy: a Case Report

  • Kim, Hyun Jin (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Sunwoo, Moon Kyung (Department of Neurology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Lee, Jang Han (Department of Internal Medicine, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Choi, Yong Sun (Department of Internal Medicine, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Kim, Dae Yoon (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital)
  • Received : 2017.02.26
  • Accepted : 2017.03.15
  • Published : 2017.03.30
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Abstract

A characteristic imaging finding in cases of methanol intoxication is putaminal necrosis, but its presence is usually not suspected due to its rarity. Methanol intoxication generally produces serious neurological symptoms that include visual disturbances and diminished consciousness, characteristically with metabolic acidosis. We reported the case of a 59-year-old man who was admitted to the hospital with diminished consciousness. Acute methanol intoxication was determined as the cause. Laboratory tests revealed high anion gap metabolic acidosis. Diffusion-weighted MRI indicated diffuse symmetric diffusion restriction lesions in the subcortical white matter of both cerebral hemispheres.

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References

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