Chasing the dragon: heroin smoking related toxic leukoencephalopathy
Diagnosis almost certain
Presentation
History of illicit drug use.
Patient Data
Age: 40 years
Gender: Male
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Info
High T2 signal in the cerebellar hemispheric white matter, corticospinal tracts (just below the red nuclei), extending up into the posterior limb of internal capsule and perirolandic subcortical white matter and occipital lobes. Note that the increased T2 signal in the cerebellum is shine-through.
Case Discussion
Typical appearances of heroin smoking associated toxic leukoencephalopathy, known as Chasing the dragon, in a patient with long history of heroin smoking.
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