RT Journal Article SR Electronic T1 MR imaging of "spray heads": toluene abuse via aerosol paint inhalation. JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1195 OP 1199 VO 14 IS 5 A1 L Xiong A1 J D Matthes A1 J Li A1 J R Jinkins YR 1993 UL http://www.ajnr.org/content/14/5/1195.abstract 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.