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[MRI findings in star-fruit intoxication].
J Neuroradiol. 2008 Oct; 35(4):217-23.JN

Abstract

Star-fruit ingestion has been previously reported to cause severe neurotoxicity in uremic patients with symptoms ranging from hiccups, vomiting and consciousness disturbances to refractory status epilepticus, coma and death. MRI examinations of five uremic patients with severe neurological disturbances following star-fruit intoxication were reviewed. At the time of MRI, all patients presented with a confusional state, preceded by seizures in three cases. MRI showed focal (four patients) and diffuse (one patient) cortical hyperintensity on diffusion-weighted sequences, with a corresponding low apparent diffusion coefficient. An additional area of increased diffusion intensity was observed in the pulvinar (two patients) and hippocampus (two patients). MRI and diffusion-weighted imaging may be useful for the diagnosis of star-fruit neuro-intoxication which is associated with a poor prognosis and requires acute and appropriate treatment.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Cassinotto C
Service de neurologie, CHU La Meynard, 97200 Fort-de-France, France. cassinotto@gmail.com
Mejdoubi M
No affiliation info available
Signate A
No affiliation info available
Herbland A
No affiliation info available
Olindo S
No affiliation info available
Deramond H
No affiliation info available

MeSH

AgedAged, 80 and overDiffusion Magnetic Resonance ImagingFemaleFoodborne DiseasesFruitHumansMaleMiddle AgedPrognosisStatus EpilepticusUremia

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

18436305

Citation

Cassinotto, C, et al. "[MRI Findings in Star-fruit Intoxication]." Journal of Neuroradiology = Journal De Neuroradiologie, vol. 35, no. 4, 2008, pp. 217-23.
Cassinotto C, Mejdoubi M, Signate A, et al. [MRI findings in star-fruit intoxication]. J Neuroradiol. 2008;35(4):217-23.
Cassinotto, C., Mejdoubi, M., Signate, A., Herbland, A., Olindo, S., & Deramond, H. (2008). [MRI findings in star-fruit intoxication]. Journal of Neuroradiology = Journal De Neuroradiologie, 35(4), 217-23. https://doi.org/10.1016/j.neurad.2008.02.002
Cassinotto C, et al. [MRI Findings in Star-fruit Intoxication]. J Neuroradiol. 2008;35(4):217-23. PubMed PMID: 18436305.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [MRI findings in star-fruit intoxication]. AU - Cassinotto,C, AU - Mejdoubi,M, AU - Signate,A, AU - Herbland,A, AU - Olindo,S, AU - Deramond,H, Y1 - 2008/04/23/ PY - 2008/4/26/pubmed PY - 2008/12/17/medline PY - 2008/4/26/entrez SP - 217 EP - 23 JF - Journal of neuroradiology = Journal de neuroradiologie JO - J Neuroradiol VL - 35 IS - 4 N2 - Star-fruit ingestion has been previously reported to cause severe neurotoxicity in uremic patients with symptoms ranging from hiccups, vomiting and consciousness disturbances to refractory status epilepticus, coma and death. MRI examinations of five uremic patients with severe neurological disturbances following star-fruit intoxication were reviewed. At the time of MRI, all patients presented with a confusional state, preceded by seizures in three cases. MRI showed focal (four patients) and diffuse (one patient) cortical hyperintensity on diffusion-weighted sequences, with a corresponding low apparent diffusion coefficient. An additional area of increased diffusion intensity was observed in the pulvinar (two patients) and hippocampus (two patients). MRI and diffusion-weighted imaging may be useful for the diagnosis of star-fruit neuro-intoxication which is associated with a poor prognosis and requires acute and appropriate treatment. SN - 0150-9861 UR - https://www.unboundmedicine.com/medline/citation/18436305/[MRI_findings_in_star_fruit_intoxication]_ DB - PRIME DP - Unbound Medicine ER -