SEARCH WITHIN CONTENT
VOLUME 16 , ISSUE 2 ( April, 2012 ) > List of Articles
Alakendu Ghosh, Rudra Prosad Goswami, Swati Mondal, Subrata Basu, Partha Sarathi Karmakar
Keywords : Benzodiazepine, bilateral basal ganglia hyperintensity, India, MRI, poisoning
Citation Information : Ghosh A, Goswami RP, Mondal S, Basu S, Karmakar PS. A sound sleep. Indian J Crit Care Med 2012; 16 (2):106-108.
License: CC BY-ND 3.0
Published Online: 01-04-2012
Copyright Statement: Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.
Benzodiazepine is a commonly encountered agent of poisoning, which is readily diagnosed by a pertinent history of drug ingestion and the clinical scenario. In the absence of a proper drug history, the diagnosis becomes challenging. Proper clinical assessment, urine assays and imaging play a very important role in reaching the diagnosis. We present a case of acute benzodiazepine poisoning without a history of drug intake. The key pointers toward diagnosis were an unarousable state with obstructive apnea. Magnetic resonance imaging (MRI) of the brain revealed peculiar symmetrical isolated globus pallidus T2 hyperintensity. We believe this to be the first report of isolated bilateral basal ganglia T2-weighted hyperintensity in MRI in the setting of acute benzodiazepine poisoning from India.
© Jaypee Brothers Medical Publishers (P) LTD.