PT  - JOURNAL ARTICLE
AU  - Chan, Y.L.
AU  - Ng, H.K.
AU  - Leung, C.B.
AU  - Yeung, D.K.W.
TI  - <sup>31</sup>Phosphorous and Single Voxel Proton MR Spectroscopy and Diffusion-Weighted Imaging in a Case of Star Fruit Poisoning
DP  - 2002 Oct 01
TA  - American Journal of Neuroradiology
PG  - 1557--1560
VI  - 23
IP  - 9
4099  - http://www.ajnr.org/content/23/9/1557.short
4100  - http://www.ajnr.org/content/23/9/1557.full
SO  - Am. J. Neuroradiol.2002 Oct 01; 23
AB  - Summary: We herein describe the case of a patient with chronic renal failure complicated by star fruit poisoning. T2-weighted and diffusion-weighted MR imaging showed hyperintense lesions at the thalami and right temporo-occipital cortex. Single voxel proton MR spectroscopy revealed elevation of lactate and 31phosphorous MR spectroscopy revealed elevation of inorganic phosphate and decrease of phosphocreatine and nucleoside triphosphates. The imaging and metabolic changes indicated energy deprivation, with subsequent cortical necrosis proved at autopsy.