North American Journal of Medical Sciences

CASE REPORT
Year
: 2013  |  Volume : 5  |  Issue : 10  |  Page : 623--624

Bilateral putaminal hemorrhages: Serious complication of methanol intoxication


Nitipong Permpalung, Wisit Cheungpasitporn, Daych Chongnarungsin, Travis M Hodgdon 
 Department of Medicine, Bassett Medical Center, Cooperstown, New York, USA

Correspondence Address:
Wisit Cheungpasitporn
Department of Medicine, Bassett Medical Center, Cooperstown, New York - 13326
USA

Context: Methanol intoxication is a life-threatening condition. Hallmark of clinical presentations include severe wide anion gap metabolic acidosis with very high serum osmolar gap and visual complication. Case Report: We report a case of severe methanol intoxication with bilateral putaminal hemorrhage, an uncommon serious complication. A 56-year-old man presented with altered mental status. Fundus examination showed optic disc edema. Arterial Blood Gas (ABG) revealed severe anion gap metabolic acidosis with osmolal gap. Head computed tomography (CT) showed hypodense lesions in basal ganglia bilaterally. Hemodialysis and intravenous fomepizole were initiated. Serum methanol level was significantly elevated. Unfortunately, patient was lethargic 2 weeks after discharge. Repeated CT of head demonstrated new putaminal hemorrhages. Conclusion: Bilateral putaminal hemorrhage is an uncommon but serious complication in methanol intoxication. Clinicians should have high index of suspicion for putaminal hemorrhage when patients with recent methanol intoxication present with altered mental status.


How to cite this article:
Permpalung N, Cheungpasitporn W, Chongnarungsin D, Hodgdon TM. Bilateral putaminal hemorrhages: Serious complication of methanol intoxication.North Am J Med Sci 2013;5:623-624


How to cite this URL:
Permpalung N, Cheungpasitporn W, Chongnarungsin D, Hodgdon TM. Bilateral putaminal hemorrhages: Serious complication of methanol intoxication. North Am J Med Sci [serial online] 2013 [cited 2022 Jun 25 ];5:623-624
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2013;volume=5;issue=10;spage=623;epage=624;aulast=Permpalung;type=0