Neuroimaging Perspectives on Metabolic Encephalopathies: A Case Series

Encephalopathies arise from various causes, such as toxic exposures, autoimmune conditions and metabolic disturbances. Their symptoms are typically non specific and may include seizures, localised neurological issues, movement abnormalities, or more severe outcomes like coma, lasting complications, or death. Here, the authors enumerate a few commonly encountered metabolic encephalopathies, (2 females, 4 males) such as the involvement of the splenium in Cytotoxic Lesions of the Corpus Callosum (CLOCCS), the mamillary bodies in Marchiafava-Bignami Disease (MBD) and the lentiform nucleus in uraemic encephalopathy. Knowledge of these patterns aids in achieving a specific diagnosis. Each pattern is linked to the most likely differential diagnosis, aligning more closely with the real-world challenges faced by radiologists.