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Published on: February 6, 2019
MR enhancing brain lesions in methanol intoxication
C A Anderson1, D Rubinstein, C M Filley
1Department of Neurology, University of Colorado Health Sciences Center, Denver 80262, USA.
Abstract:
Methanol intoxication can cause necrosis of the putamen and subcortical white matter that is evident on neuroimaging. We report a 47-year-old man with significant methanol intoxication who had enhancing lesions in the caudate nuclei, putamina, hypothalamus, and subcortical white matter by MRI. This case demonstrates that contrast enhancement of brain lesions can be observed after methanol poisoning.
Insights
Methanol poisoning can cause brain damage, including to the putamen and white matter. This case shows that these brain lesions can be highlighted by MRI contrast enhancement, aiding diagnosis.
Area of Science:
- Neurology
- Toxicology
- Radiology
Background:
- Methanol intoxication is a serious condition with potential neurological sequelae.
- Neuroimaging, particularly MRI, is crucial for diagnosing and monitoring brain damage.
Observation:
- A 47-year-old male presented with significant methanol intoxication.
- MRI revealed enhancing lesions in the caudate nuclei, putamina, hypothalamus, and subcortical white matter.
Findings:
- Contrast enhancement of brain lesions is a potential finding in methanol poisoning.
- The observed enhancement patterns provide insights into the distribution and severity of toxic injury.
Implications:
- This finding may improve the diagnostic capabilities of MRI in methanol intoxication cases.
- Understanding contrast enhancement patterns can aid in assessing prognosis and guiding treatment strategies.

