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NEUROLOGY 2005;64:1279-1281
© 2005 American Academy of Neurology
Brief Communications

Methyl bromide intoxication causes reversible symmetric brainstem and cerebellar MRI lesions

Howard L. Geyer, MD, PhD, Herbert H. Schaumburg, MD and Steven Herskovitz, MD

From the Department of Neurology, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY.

Address correspondence and reprint requests to Dr. Howard Geyer, Montefiore Medical Center, 111 East 210th Street, EMG Laboratory, Klau Service Corridor, Bronx, NY 10467; e-mail geyer{at}doctor.com

Methyl bromide is toxic to the central and peripheral nervous systems. A patient with occupational exposure to this agent is described. MRI showed strikingly symmetric brainstem and cerebellar lesions. The patient’s clinical course and the topography and resolution of his MRI abnormalities suggest that this condition is an energy deprivation syndrome.

Received August 4, 2004. Accepted in final form December 20, 2004.




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