Abstract
Objective: Methanol poisoning is a dangerous life-threatening event, manifested with various symptoms, sometimes very rare ones, that all should be addressed to prevent misdiagnosis of the methanol-poisoned patients. Case Presentation: A 21-year-old young man was brought to the emergency department (ED) with a generalized tonic-clonic (GTC) seizure and he was diagnosed with methanol intoxication. A non-contrast computed tomography (NCCT) of the brain demonstrated findings similar to subarachnoid hemorrhage (SAH). After the brain CT, he had a Glasgow Coma Score (GCS) of 3 and all brainstem reflexes were absent. Neurology consultant agreed with the diagnosis of pseudo-SAH. Brain death was confirmed by a positive apnea test within 24 hours of presentation. Conclusion: It is suggested that compression of dural sinuses due to severe brain edema, reduces the venous drainage and leads to venous engorgement, which appears high attenuated in the background of low-density edematous brain matter.
Highlights
Following the spread of coronavirus disease 2019 (COVID-19) in China and in almost all parts of the world, including Iran, a false rumor has been spreading that ingesting alcohol could protect from this new coronavirus infection [1]
Noncontrast computed tomography (NCCT) of the brain was performed before hemodialysis, which showed diffuse cerebral edema with a defect in differentiation of the gray white matter, decreased attenuation of brain parenchyma and hyper-attenuation of cerebral sulci, fissures and cisterns, and resembling subarachnoid hemorrhage (SAH) (Figure 1)
Neurology consultant agreed with the diagnosis of pseudo-SAH based on the Hounsfield units (HU) of at the basal cisterns and at the tentorium and diffuse loss of gray white matter differentiation
Summary
Following the spread of coronavirus disease 2019 (COVID-19) in China and in almost all parts of the world, including Iran, a false rumor has been spreading that ingesting alcohol could protect from this new coronavirus infection [1]. Case Presentation A 21-year old boy was brought in the ED by emergency medical service (EMS) with a generalized tonic-clonic (GTC) seizure. EMS was called when his father found him unresponsive in his room at late night Last night, he returned home after engaging in binge drinking. EMS reported that at the scene he had a Glasgow Coma Score (GCS) of 8, findings of urinary incontinence and a blood sugar of 85. He had an episode of GTC seizure en route to the hospital, lasting about 5 minutes and terminated with intravenous administration of 5 mg diazepam. Noncontrast computed tomography (NCCT) of the brain was performed before hemodialysis, which showed diffuse cerebral edema with a defect in differentiation of the gray white matter, decreased attenuation of brain parenchyma and hyper-attenuation of cerebral sulci, fissures and cisterns, and resembling subarachnoid hemorrhage (SAH) (Figure 1)
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