RT Journal Article SR Electronic T1 31Phosphorous and Single Voxel Proton MR Spectroscopy and Diffusion-Weighted Imaging in a Case of Star Fruit Poisoning JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1557 OP 1560 VO 23 IS 9 A1 Chan, Y.L. A1 Ng, H.K. A1 Leung, C.B. A1 Yeung, D.K.W. YR 2002 UL http://www.ajnr.org/content/23/9/1557.abstract 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.