PT - JOURNAL ARTICLE AU - W.-W. Lee AU - J.-S. Kim AU - K.R. Son AU - H.-M. Kwon TI - Atypical Diffusion-Restricted Lesion in 5-Fluorouracil Encephalopathy AID - 10.3174/ajnr.A2781 DP - 2012 Aug 01 TA - American Journal of Neuroradiology PG - E102--E103 VI - 33 IP - 7 4099 - http://www.ajnr.org/content/33/7/E102.short 4100 - http://www.ajnr.org/content/33/7/E102.full SO - Am. J. Neuroradiol.2012 Aug 01; 33 AB - SUMMARY: Central nervous system toxicity of 5-FU could show various manifestations, such as decreased alertness, disorientation, and agitation. It is generally accepted that lesions of 5-FU encephalopathy are mainly in the deep cerebral white matter and corpus callosum on MR imaging. Here we describe a case of 5-FU encephalopathy in gastric cancer with an atypical reversible diffusion-restricted lesion on MR imaging, showing bilateral basal ganglia, thalami, and parasagittal frontal cortex involvement on diffusion and T2-weighted imaging. BUNblood urea nitrogenCRFchronic renal failureDPDdihydropyrimidine dehydrogenase5-FU5-fluorouracilPT/INRprothrombin time/international normalized ratio