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Pending volatile compound screen, fomepizole was started and urgent haemodialysis undertaken. Subsequent brain MRI identified changes in putamen of bilateral basal ganglia, suggestive of methanol intoxication. The patient was later found to have an initial methanol level of 237\u2005mg\/dL. She was successfully extubated on day 2 of hospitalisation, with residual cognitive and visual deficits.<\/jats:p>","DOI":"10.1136\/bcr-2015-214272","type":"journal-article","created":{"date-parts":[[2016,2,25]],"date-time":"2016-02-25T16:03:29Z","timestamp":1456416209000},"page":"bcr2015214272","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Mind the gap: a case of severe methanol intoxication"],"prefix":"10.1136","volume":"2016","author":[{"given":"Salik","family":"Nazir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Melnick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shabana","family":"Ansari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haitham T","family":"Kanneh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,2,25]]},"reference":[{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.1","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2014.987397"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.2","first-page":"180","article-title":"A case of methanol poisoning leading to prolonged respirator dependency with consequent blindness and irreversible brain damage","volume":"6","author":"Manuchehri","year":"2015","journal-title":"Caspian J Intern Med"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMct0806112"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.4","doi-asserted-by":"publisher","DOI":"10.1177\/096032719601500604"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.5","doi-asserted-by":"publisher","DOI":"10.1159\/000013366"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.6","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(96)70271-8"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.7","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-8-580"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.8","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1093\/clinchem\/38.5.755","article-title":"Excess osmolal gap in diabetic ketoacidosis explained","volume":"38","author":"Davidson","year":"1992","journal-title":"Clin Chem"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.9","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6890-12-1"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.10","doi-asserted-by":"crossref","first-page":"68","DOI":"10.5144\/0256-4947.2012.26.5.1114","article-title":"Methanol poisoning: characteristic MRI findings","volume":"33","author":"Jain","year":"2013","journal-title":"Ann Saudi Med"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.11","first-page":"1099","article-title":"MRI findings in methanol intoxication: a report of three cases","volume":"62","author":"Azeemuddin","year":"2012","journal-title":"J Pak Med Assoc"},{"key":"2025042702491001000_2016.feb25_3.bcr2015214272.12","doi-asserted-by":"crossref","unstructured":"Thirunavukkarasu S , Nair PP , Wadwekar V . 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