Toxins in Brain! Magnetic Resonance (MR) Imaging of Toxic Leukoencephalopathy - A Pictorial Essay

Toxic leukoencephalopathy results from damage to the white matter caused by various toxins. It manifests itself as white matter signal abnormalities with or without the presence of restricted diffusion. These changes are often reversible if the insulting agent is removed early, with the exception of...

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Bibliographic Details
Published in:Polish journal of radiology 2017-06, Vol.82, p.311-319
Main Authors: Kumar, Yogesh, Drumsta, Douglas, Mangla, Manisha, Gupta, Nishant, Hooda, Kusum, Almast, Jeevak, Mangla, Rajiv
Format: Article
Language:English
Subjects:
Review
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Summary:Toxic leukoencephalopathy results from damage to the white matter caused by various toxins. It manifests itself as white matter signal abnormalities with or without the presence of restricted diffusion. These changes are often reversible if the insulting agent is removed early, with the exception of posthypoxic leukoencephalopathy that can manifest itself 1-2 weeks after the initial insult. However, many other potential causes of white matter signal abnormalities can mimic the changes of toxic leukoencephalopathy. Thus, familiarity with the causes, clinical presentation and particularly imaging findings of toxic leukoencephalopathy is critical for early treatment and improved prognosis. The purpose of this pictorial essay is to familiarize the reader with the various causes of toxic leukoencephalopathy along with its differential diagnoses and mimics.
ISSN:1733-134X
1899-0967
1899-0967
DOI:10.12659/pjr.901791