Abstracts
A case of acute methanol intoxication is presented, in which bilateral putaminal hemorrhage developed after hemodialysis. Even though the patient was initially comatose and profoundly acidotic, favorable outcome was achieved, with long-term neurologic impairments essentially restricted to mild crural paraparesis, retrograde amnesia, and marked visual deficit. A comparative literature review is evaluated.
methanol; putaminal hemorrhage; neurotoxicity; coma
Um caso de intoxicação aguda por metanol é relatado, no qual o paciente desenvolveu hemorragia putaminal bilateral após hemodiálise. Muito embora o paciente se encontrasse inicialmente comatoso e profundamente acidótico, a recuperação foi favorável, com comprometimento neurológico a longo prazo essencialmente restrito a paraparesia crural discreta, amnésia retrógrada e déficit visual acentuado. Uma revisão comparativa da literatura é avaliada.
metanol; hemorragia putaminal; neurotoxicidade; coma
Bilateral putaminal hemorrhage related to methanol poisoning. A complication of hemodialysis? case report
Hemorragia putaminal bilateral em intoxicação por metanol: uma complicação de hemodiálise? Relato de caso
Miguel Giudicissi FilhoI; Carlos V. M. HolandaI; Nelson A. NaderI; Sergio R. P. GomesII; Paulo H. F. BertolucciII
IDivisions of Neurosurgery. Hospital Municipal Arthur Ribeiro de Saboya, São Paulo
IIRadiology. Hospital Municipal Arthur Ribeiro de Saboya, São Paulo
IIINeurology. Hospital Municipal Arthur Ribeiro de Saboya, São Paulo
SUMMARY
A case of acute methanol intoxication is presented, in which bilateral putaminal hemorrhage developed after hemodialysis. Even though the patient was initially comatose and profoundly acidotic, favorable outcome was achieved, with long-term neurologic impairments essentially restricted to mild crural paraparesis, retrograde amnesia, and marked visual deficit. A comparative literature review is evaluated.
Key words:methanol, putaminal hemorrhage, neurotoxicity, coma.
RESUMO
Um caso de intoxicação aguda por metanol é relatado, no qual o paciente desenvolveu hemorragia putaminal bilateral após hemodiálise. Muito embora o paciente se encontrasse inicialmente comatoso e profundamente acidótico, a recuperação foi favorável, com comprometimento neurológico a longo prazo essencialmente restrito a paraparesia crural discreta, amnésia retrógrada e déficit visual acentuado. Uma revisão comparativa da literatura é avaliada.
Palavras-chave: metanol, hemorragia putaminal, neurotoxicidade, coma.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Acknowledgment - The authors thank Julio Cruz,M.D.,Ph.D., for critically reviewing and editing the manuscript.
Aceite: 27-março-1995.
Dr. Miguel Giudicissi Filho - Rua Lacedemonia 111 - 04634-020 São Paulo SP - Brasil.
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Publication Dates
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Publication in this collection
09 Dec 2010 -
Date of issue
Sept 1995
