Neurocritical Care

, Volume 3, Issue 2, pp 171–173 | Cite as

Severe ethylene glycol intoxication mimicking acute basilar artery occlusion

  • Hagen B. HuttnerEmail author
  • Christian Berger
  • Stefan Schwab
Perspectives In Intoxications


We report a patient with severe ethylene glycol poisoning initially mimicking acute basilar artery occlusion and elucidate the importance of immediate diagnosis and treatment: a previously healthy 59-year-old truck driver presenting with hallmarks of basilar artery syndrome after having consumed an unknown substance. Immediate application of intravenous ethanol and hemodialysis could not prevent the development of a malignant brain edema within hours. This report describes a new clinical presentation of severe ethylene glycol intoxication mimicking acute basilar artery occlusion with the development of a fatal brain edema within hours, despite adequate treatment.

Key Words

Ethylene glycol poisoning basilar artery occlusion fomepizole acidosis brain edema 


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Copyright information

© Humana Press Inc 2005

Authors and Affiliations

  • Hagen B. Huttner
    • 1
    Email author
  • Christian Berger
    • 1
  • Stefan Schwab
    • 1
  1. 1.Department of Neurology-ICUUniversity of HeidelbergHeidelbergGermany

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