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Recently, a distinct clinicoradiologic entity involving cerebellar, hippocampal, and basal nuclei transient edema with restricted diffusion (CHANTER) on MR imaging was identified. Patients present in an unresponsive state following exposure to drugs of abuse. Very little information exists regarding this entity, particularly in the radiology literature. We identify and describe 3 patients at our institution with similar clinical and radiographic findings. Multifocal restricted diffusion in the brain is typically associated with poor outcomes. By contrast, CHANTER involves intraventricular obstructive hydrocephalus that, when treated, can lead to substantial recovery. |
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basal ganglia,lesion of cerebellar lesion CHANTER syndrome coma deep gray nuclei hippocampus,hyperintense hydrocephalus hydrocephalus,non-communicating(obstructive) MRI,abnormal MRI,diffusion weighted prognosis symmetric brain lesions unconsciousness
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