A neuropsychiatric case of delayed post-hypoxic leukoencephalopathy from opioid intoxication resulting in Anton-Babinski syndrome and quadriplegia.

IF 0.6 4区 医学 Q4 CLINICAL NEUROLOGY Neurocase Pub Date : 2023-10-01 Epub Date: 2024-05-07 DOI:10.1080/13554794.2024.2350103
Roberto A Cardona Quiñones, Saidy A Salem Hernández, Sayuri Sekimitsu, Joalex Antongiorgi Torres, Oleg Yerstein, Laura T Safar
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Abstract

This is the case of a 26-year-old male who developed Anton Babinski syndrome (ABS), quadriplegia, and delayed post-hypoxic leukoencephalopathy (DPHL) after an opioid overdose. He exhibited cortical blindness, visual anosognosia, and confabulation upon awakening. Several days later, he experienced acute psychosis and agitation. T2-FSE MRI revealed extensive supratentorial leukoencephalopathy involving both cerebral hemispheres, extending to the posterior corpus callosum due to cerebral anoxia. This case report will discuss different types of encephalopathy from opioid abuse, ABS, visual anosognosia, and confabulation's pathogenic mechanisms. It underscores the necessity of researching substance-induced neuropsychiatric disorders and their pathogenic mechanisms for effective treatments.

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一例因阿片类药物中毒导致安东-巴宾斯基综合征和四肢瘫痪的迟发性缺氧后白质脑病神经精神病例。
这是一个 26 岁男性的病例,他在阿片类药物过量后出现了安东-巴宾斯基综合征 (ABS)、四肢瘫痪和迟发性缺氧后白质脑病 (DPHL)。他在苏醒后表现出皮层失明、视觉失认和混淆。几天后,他出现了急性精神病和躁动。T2-FSE 核磁共振成像显示,由于脑缺氧,广泛的幕上白质脑病累及两个大脑半球,并延伸至胼胝体后部。本病例报告将讨论滥用阿片类药物导致的不同类型脑病、ABS、视觉失认症和迷惑的致病机制。它强调了研究药物诱发的神经精神疾病及其致病机制以获得有效治疗的必要性。
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来源期刊
Neurocase
Neurocase 医学-精神病学
CiteScore
1.40
自引率
12.50%
发文量
70
审稿时长
6-12 weeks
期刊介绍: Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.
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