{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T09:21:11Z","timestamp":1788168071321,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T00:00:00Z","timestamp":1788134400000},"content-version":"vor","delay-in-days":242,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Radiology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Methanol toxicity remains a critical yet challenging diagnosis due to its nonspecific early presentation and potential for delayed intervention. Although methanol itself is nontoxic, its metabolite\u2014formic acid\u2014induces severe metabolic acidosis and neurotoxicity, particularly affecting the basal ganglia and optic nerves. We present a case of a male in his 50s with altered mental status and visual impairment following windshield washer fluid ingestion. Initial computed tomography (CT) was unremarkable, but follow\u2010up imaging revealed bilateral putaminal necrosis and subcortical white matter involvement, including the frontal and occipital lobes. Diffusion\u2010weighted imaging (DWI) findings demonstrated acute ischemia and necrosis, underscoring the value of advanced imaging when methanol toxicity is suspected. This case highlights the importance of recognizing characteristic radiological patterns to facilitate timely diagnosis and improve patient outcomes.<\/jats:p>","DOI":"10.1155\/crra\/9972530","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T08:52:42Z","timestamp":1788166362000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Advanced Imaging in Methanol Toxicity: Bilateral Putaminal Necrosis and Frontal\u2013Occipital Ischemia\u2014A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6963-9951","authenticated-orcid":false,"given":"Harminder","family":"Sandhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4155-3096","authenticated-orcid":false,"given":"Shabber","family":"Syed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alhassan","family":"Alhasson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab Yousif","family":"Shukur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Bixler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,31]]},"reference":[{"key":"e_1_2_11_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/sdi.12237"},{"key":"e_1_2_11_2_2","first-page":"452","article-title":"CT and MR Imaging Findings in Methanol Intoxication","volume":"27","author":"Blanco M.","year":"2006","journal-title":"American Journal of Neuroradiology"},{"key":"e_1_2_11_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-022-14007-1"},{"key":"e_1_2_11_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agaf018"},{"key":"e_1_2_11_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.918812"},{"key":"e_1_2_11_6_2","doi-asserted-by":"publisher","DOI":"10.1023\/a:1006173526927"},{"key":"e_1_2_11_7_2","article-title":"Intracranial and Optic Nerve MRI Findings From Methanol Toxicity in a Young Adult Male Patient Presenting With Blurring of Vision","volume":"23","author":"Viterbo G. 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