Ethylene glycol ingestion resulting in brainstem and midbrain dysfunction

Introduction: Ethylene glycol toxicity has produced central nervous system abnormalities including coma, cerebral edema, and cranial nerve dysfunction . Case Report: A 26-year-old male developed widespread brainstem and midbra in dysfunction with corresponding cranial computed tomography findings afte r ingesting ethylene glycol. The computed tomography scan which was obtaine d 3 days after ethylene glycol ingestion showed low density areas in the ba sal ganglia, thalami, midbrain, and upper pons. The neurologic findings in our patient reflected dysfunction of all the areas of hypodensity on the cr anial computed tomography scan. A magnetic resonance imaging of the brain o btained 24 days after ingestion revealed bilateral putamen necrosis. The pa tient's neurologic sequelae resolved over the following 4 months.