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American Journal of Neuroradiology 27:902-903, April 2006
© 2006 American Society of Neuroradiology

Case Report
BRAIN

Pre- and Posttreatment MR Imaging Findings in Lead Encephalopathy

A.L. Atrea, P.R. Shindea, S.N. Shindea, R.S. Wadiaa, A.A. Nanivadekara, S.J. Vaida and R.S. Shindea

a From the Department of Radiology, Ruby Hall Clinic, Pune, Maharashtra, India

Address correspondence to Ashish L. Atre, MD, Department of Radiology, Ruby Hall Clinic, 40-Sassoon Rd, Pune, Maharashtra, India

SUMMARY: A 41-year-old man suspected of having lead poisoning was evaluated with MR imaging before and after British antilewisite therapy. The MR imaging findings showed bilateral symmetric involvement of the occipital lobe, affecting predominantly the gray-white matter junction and the subcortical white matter. A right cerebellar lesion was noted, with focal hyperintensities involving the gray-white matter. Similar lesions were seen in the temporal, parietal, and frontal regions. These lesions resolved after chelation therapy.






Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X