Bipallidal haemorrhage after ethylene glycol intoxication.

Neuroradiology

Service de Neurologie, CHU Pointe à Pitre, Guadeloupe 623, Av de la République, 59800 Lille, France.

Published: February 2005

Acute or subacute bipallidal lesion, an uncommon radiological feature produced by metabolic disorders or poisoning, has never been attributed to ethylene glycol (EG) intoxication. This 50-year-old Afro-Caribbean alcoholic man had unexplained loss of consciousness. Blood tests showed osmolar gap. Drug screening was positive for EG at 6.06 mmol/l. Brain CT revealed bilateral pallidal haemorrhage. Pallidal haematoma, which could be related to deposition of oxalate crystals issued from EG metabolism, should lead to toxicological screening.

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http://dx.doi.org/10.1007/s00234-005-1347-yDOI Listing

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