معرفي يك مورد عوارض و تظاهرات خاص نورو راديولوژيك ناشي از مسموميت با متانول

Introduction of specific neuroradiologic complication and manifestation case due to methanol poisoning.

Introduction: Methyl alcohol (Methanol- Wood alcohol) is a kind of alcohols which can be led to MA intoxication due to intentional, accidental or criminal consumption of antifreeze components, industrial colourful solvents and adulterant alcoholic beverages to MA intoxication. The start of symptom is variable between 40 minutes until 72 hours and 30 to 90 minutes after drinking with empty stomach of serum level reaches peak level. Methanol poisoning may produce serious degrees of acidosis, damage the retina, ganglion cells, giving rise to scotoma, varying degrees of blindness, dilated unreactive pupils and edema. The most important aspect of treatment is the IV administration of large amounts of sodium bicarbonate, hemodialysis injection offolic acid and sponsorship measures. Case Report: This case is expressed about a 24 years old single man that after consumption of methanol indigestion, symptoms caused blurred vision and rapid progressive lethargic. Acidosis and severe decreased bicarbonate level in ABG was characteristic feature. In neuroradiologic evaluation extensive cerebral injuries occurred to basal ganglia, brainstem and cerebral falx. After establishment of the disease, in spite of on time diagnosis of MA intoxication and remedial attempts, because of high level serum methanol, the patient eventually with hypophonia and bilateral optic atrophy and clear triplegic with the acceptance of physiotherapy was discharjed.