Halavaara Juha, Valanne Leena, Setälä Kirsi
Department of Neuroradiology, Helsinki University Central Hospital, Helsinki, Finland.
Neuroradiology. 2002 Nov;44(11):924-8. doi: 10.1007/s00234-002-0855-2. Epub 2002 Sep 28.
In addition to visual loss, methanol intoxication can cause brain damage that is revealed by neuroimaging. We report on a 34-year-old man whose visual acuity deteriorated dramatically during his journey round the world, shortly after an evening with excessive alcohol consumption. Two months after the start of visual disturbances he returned to Finland. At examination, poor visual acuity and glaucomatously cupped pale optic discs were detected. The history and clinical findings indicated possible methanol intoxication, which was supported by both CT and MRI. The MRI findings are discussed in the light of the MRI appearance of the pallidum nuclei among patients of different age groups.
除了视力丧失外，甲醇中毒还可导致脑损伤，神经影像学检查可发现这种损伤。我们报告一名34岁男性，在一次过量饮酒的夜晚后，他在环球旅行期间视力急剧下降。视力障碍开始两个月后，他回到芬兰。检查时，发现视力不佳以及青光眼性杯状苍白视盘。病史和临床检查结果提示可能为甲醇中毒，CT和MRI检查均支持这一诊断。根据不同年龄组患者苍白球核的MRI表现对该患者的MRI检查结果进行了讨论。
