𝔖 Bobbio Scriptorium
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Computer tomography and magnetic resonance imaging in cvanide poisoning

✍ Scribed by Birgitta Messing; Brigitte Storch


Publisher
Springer-Verlag
Year
1988
Tongue
English
Weight
520 KB
Volume
237
Category
Article
ISSN
1433-8491

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✦ Synopsis


A 29-year-old chemistry student took 50 ml of a 1% potassium cyanide solution (500 mg) in an attempted suicide. He became comatose, mydriatic, and was admitted to hospital in an apneic state. He woke up after 7 h and developed Parkinsonism in the following weeks. This regressed slowly during the 2 months after the poisoning apart from dysarthria, bradykinesia of the upper limbs, and very brisk monosynaptic reflexes. At 3 weeks after the intoxication, computerized tomography was largely normal, and there was CSF-dense hypodensity in both putamina after 5 months. Sharply delimited signal elevation in T2 corresponding to the two putamina was detected by magnetic resonance imaging 8 weeks and 5 months after ingestion of the poison.


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