Cocaine leukoencephalopathy

Evidence-based neurology checklist on cocaine leukoencephalopathy: Pathogenesis Toxicity is probably caused by levamisole in adulterated cocaine It may cause a recurrent encephalopathy Clinical features Magnetic resonance imaging (MRI) brain: features Magnetic resonance spectroscopy (MRS):…

Pathogenesis

  • Toxicity is probably caused by levamisole in adulterated cocaine
  • It may cause a recurrent encephalopathy

Clinical features

Magnetic resonance imaging (MRI) brain: features

Magnetic resonance spectroscopy (MRS): features

Differential diagnosis

Other features of cocaine toxicity

References

  1. González-Duarte A, Williams R. Cocaine-induced recurrent leukoencephalopathy. Neuroradiol J 2013; 26:511-513.
  2. Vitt JR, Brown EG, Chow DS, Josephson SA. Confirmed case of levamisole-associated multifocal inflammatory leukoencephalopathy in a cocaine user. J Neuroimmunol 2017; 305:128-130.
  3. Vosoughi R, Schmidt BJ. Multifocal leukoencephalopathy in cocaine users: a report of two cases and review of the literature. BMC Neurol 2015; 15:208.
  4. Bianco F, Iacovelli E, Tinelli E, Lepre C, Pauri F. Recurrent leukoencephalopathy in a cocaine abuser. Neurotoxicology 2011; 32:410-412. 
  5. Cheng YC, Ryan KA, Qadwai SA, et al. Cocaine use and risk of ischemic stroke in young adults. Stroke 2016; 47:918-922.
  6. And 12 more. Subscribe to see the full list

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