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Diffusion-Weighted Imaging for Detecting Glufosinate Ammonium Intoxication: A Case Report.

Hyoung Yeob Kim, Noh Hyuk Park

    Journal of the Korean Society of Radiology
    |December 22, 2022
    PubMed
    Summary

    Glufosinate ammonium herbicide poisoning can cause severe brain swelling. A case report details cytotoxic edema in specific brain regions on MRI after intentional glufosinate ammonium ingestion.

    Keywords:
    Glufosinate AmmoniumHerbicidesMagnetic Resonance ImagingPoisoning

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    Area of Science:

    • Neurology
    • Toxicology
    • Radiology

    Background:

    • Glufosinate ammonium herbicides are widely used non-selective agents.
    • Increased herbicide use correlates with rising cases of acute intoxication, often from suicide attempts.

    Observation:

    • A patient presented with symptoms following glufosinate ammonium intoxication.
    • Brain diffusion-weighted MRI revealed specific abnormalities.

    Findings:

    • The patient exhibited cytotoxic edema.
    • Affected areas included the posterior limbs of bilateral internal capsules, bilateral middle cerebellar peduncles, and splenium of the corpus callosum.

    Implications:

    • This case highlights a potential neurotoxic effect of glufosinate ammonium.
    • Diffusion-weighted MRI is crucial for diagnosing and characterizing brain injury in glufosinate ammonium poisoning.
    • Understanding these MRI findings aids in clinical management and prognosis assessment.