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KMID : 0858520170210010061
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Journal of the Korean Society of Magnetic Resonance in Medicine
2017 Volume.21 No. 1 p.61 ~ p.64
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Methanol-Induced Encephalopathy: a Case Report
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Kim Hyun-Jin
Sunwoo Moon-Kyung
Lee Jang-Han
Choi Yong-Sun
Kim Dae-Yoon
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Abstract
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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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KEYWORD
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Methanol intoxication, Diffuse symmetric subcortical white matter lesion, Magnetic resonance imaging
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