PT - JOURNAL ARTICLE AU - L Xiong AU - J D Matthes AU - J Li AU - J R Jinkins TI - MR imaging of "spray heads": toluene abuse via aerosol paint inhalation. DP - 1993 Sep 01 TA - American Journal of Neuroradiology PG - 1195--1199 VI - 14 IP - 5 4099 - http://www.ajnr.org/content/14/5/1195.short 4100 - http://www.ajnr.org/content/14/5/1195.full SO - Am. J. Neuroradiol.1993 Sep 01; 14 AB - PURPOSE Three male patients with a history of spray-paint inhalation are presented.METHODS Spin-echo MR was used to evaluate the central nervous system changes secondary to toluene inhalation delivered via spray-paint fumes.RESULTS The remarkable findings included the loss of cerebral and cerebellar gray-white matter discrimination, scattered multifocal deep white matter lesions, and gross generalized atrophy of the cerebrum, the cerebellum, and the corpus callosum.CONCLUSION Although the observed changes are nonspecific, combined with a positive history the diagnosis of inhalation toluene abuse can be made on the basis of consistent MR findings.