Methadone-Induced Toxic Brain Damage
Author(s) -
Jérôme Corré,
Jérôme Pillot,
Gilles Hilbert
Publication year - 2013
Publication title -
case reports in radiology
Language(s) - English
Resource type - Journals
eISSN - 2090-6862
pISSN - 2090-6870
DOI - 10.1155/2013/602981
Subject(s) - basal ganglia , medicine , methadone , hyperintensity , fluid attenuated inversion recovery , cerebellum , anesthesia , cerebellar hemisphere , neuroscience , magnetic resonance imaging , psychology , central nervous system , radiology
A 29-year-old man presented with comatose after methadone intoxication. Cerebral tomography only showed cortico-subcortical hypodense signal in the right cerebellar hemisphere. Brain MRI showed a rare imaging of FLAIR and DWI hyperintensities in the two cerebellar hemispheres as well as basal ganglia (globi pallidi), compatible with methadone overdose. To our knowledge this is the first reported case of both cerebellar and basal ganglia involvement in methadone overdose.
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