Journal of Emergencies, Trauma, and Shock
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Year : 2012  |  Volume : 5  |  Issue : 4  |  Page : 356-359

Rare combination of bilateral putaminal necrosis, optic neuritis, and polyneuropathy in a case of acute methanol intoxication among patients met with hooch tragedy in Gujarat, India

1 Department of Emergency Medicine, VSGH, India
2 Consultant Pathologist, SCLGH Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
3 Department of Neurology, LG, SCLGH, Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India
4 Department of Radio-diagnosis, SCLGH Smt. NHL Municipal Medical College, Ahmedabad, Gujarat, India

Correspondence Address:
Bhavesh S Jarwani
Department of Emergency Medicine, VSGH
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.102413

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Methanol poisoning is a rare but extremely hazardous form of intoxication, generally occurring after suicidal or accidental events. Methanol is a cheap and potent adulterant of illicit liquors. In India, we have witnessed number of mass emergencies due to adulterated alcohol consumption. Although Gujarat State had banned alcohol consumption since 1961, worse hooch tragedies have often taken place. The most severe consequences of methanol intoxication are blindness, a profound metabolic acidosis and various forms of neurological impairment; which occur characteristically after a latent period of several hours or days after ingestion. We present a unique case of acute methanol intoxication presented with, apart from metabolic acidosis and optic neuritis, involvement of central nervous system and peripheral nervous system. He had bilateral optic neuritis, delayed onset polyneuropathy with axonopathy, and radiculopathy. Magnetic resonance imaging findings were consistent with bilateral putaminal necrosis.

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