TY - JOUR PY - 2011// TI - Methadone-induced toxic leukoencephalopathy: diagnosis and follow-up by magnetic resonance imaging including diffusion-weighted imaging and apparent diffusion coefficient maps JO - Journal of neuroimaging A1 - Cerase, Alfonso A1 - Leonini, Sara A1 - Bellini, Matteo A1 - Chianese, Giuseppe A1 - Venturi, Carlo SP - 283 EP - 286 VL - 21 IS - 3 N2 - BACKGROUND AND PURPOSE: Effects of methadone misuse have been rarely described. The purpose of this case report is to increase the knowledge of methadone-related leukoencephalopathy. METHODS: We report the long-term follow-up by brain magnetic resonance imaging including isotropic diffusion-weighted imaging and mean apparent diffusion coefficient values of a 49-year-old patient who attempted suicide by intravenous methadone. RESULTS AND CONCLUSIONS: Lesion pattern included subtle cerebellar involvement, mainly reversible extensive bilateral and symmetric brain involvement, cystic degeneration in the periventricular regions, sparing of corpus callosum and subcortical U-fibers, development of diffuse brain atrophy, and clear-cut clinical improvement.
Language: en
LA - en SN - 1051-2284 UR - http://dx.doi.org/10.1111/j.1552-6569.2010.00530.x ID - ref1 ER -