Heroin spongiform leukoencephalopathy (HSLE)

Evidence-based neurology checklist on heroin spongiform leukoencephalopathy (hsle): Pathogenesis HSLE may follow a single heroin dose There is a possible genetic predisposition Clinical features Pathological features Magnetic resonance imaging (MRI) brain: features MRI brain lesion locations…

Pathogenesis

  • HSLE may follow a single heroin dose
  • There is a possible genetic predisposition

Clinical features

Pathological features

Magnetic resonance imaging (MRI) brain: features

MRI brain lesion locations

Magnetic resonance spectroscopy (MRS): features

References

  1. Tormoehlen LM. Toxic leukoencephalopathies. Psychiatr Clin North Am 2013; 36:277-292.
  2. Tormoehlen LM. Toxic leukoencephalopathies. Neurol Clin 2011; 29:591-605.
  3. Bach AG, Jordan B, Wegener NA, et al. Heroin spongiform leukoencephalopathy (HSLE). Clin Neuroradiol 2012; 22:345-349. 
  4. Vella S, Kreis R, Lovblad KO, Steinlin M. Acute leukoencephalopathy after inhalation of a single dose of heroin. Neuropediatrics 2003; 34:100-104.
  5. Zhou L, Lu BX, Yin J. Association of cytochrome P4502D6 gene polymorphism with the susceptibility of heroin spongiform leucoencephalopathy. Nan Fang Yi Ke Da Xue Xue Bao 2010; 30:572-574.
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