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DOI:10.2214/AJR.08.2257
AJR 2009; 193:879-886
© American Roentgen Ray Society


Pictorial Essay

Toxic and Acquired Metabolic Encephalopathies: MRI Appearance

Pranshu Sharma1, Muneer Eesa1 and James N. Scott1

1 All authors: Division of Neuroradiology, Department of Diagnostic Imaging, Foothills Medical Centre, 1403 29 St. NW, Calgary, AB T2N 2T9, Canada.

OBJECTIVE. The differential diagnosis of patients presenting with acute encephalopathy is broad. Imaging can help in narrowing the differential in many cases. We pictorially review the more classic MRI features of several acute toxic and acquired metabolic encephalopathies.

CONCLUSION. After completing this article, the reader will have knowledge of the more common imaging appearances of toxic and acquired metabolic encephalopathies, which will help in correctly identifying the cause of encephalopathy in some patients.

Keywords: coma • encephalopathy • metabolic disease • MRI


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