Bilateral putaminal hemorrhage related to methanol poisoning: a complication of hemodialysis? Case report

Author:

Giudicissi Filho Miguel1,Holanda Carlos V. M.1,Nader Nelson A.1,Gomes Sergio R. P.1,Bertolucci Paulo H. F.1

Affiliation:

1. Hospital Municipal Arthur Ribeiro de Saboya

Abstract

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.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

Reference8 articles.

1. Some catalytic properties of human liver alcohol dehydrogenase;Blair AH;Biochemistry,1966

2. Standardized treatment of severe methanol poisoning with ethanol and hemodialysis;Ekins BR;West J Med,1985

3. Distonia and hypokinesis with putaminal necrosis after methanol intoxication;LeWitt PA;Clin Neuropharmacol,1988

4. Methanol poisoning: ocular toxicity produced by formate;Martin-Amat G;Toxicol Appl Pharmacol,1978

5. Methanol poisoning: a clinical and pathological study;McLean DR;Ann Neurol,1980

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