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Microvascular Ischemia due to Amphetamine Use

Meyermann MWM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Microvascular Ischemia due to Amphetamine Use

History: 34 y/o F admitted through the ED with an unwitnessed loss of consciousness.

Findings: Numerous small to moderate foci of high signal intensity are found bilaterally in the periventricular white matter on. No hemorrhage or masses were visualized.

Ddx: Toxic Exposure, Early MS, Vasculitis, Collagen Vascular Disease, or Acute Encephalomyelitis.

Dxhow: Unknown.

Exam: Upon admission, pt was acutely psychotic and hyperthermic to 105.9 F. Lumbar puncture and initial CT were negative. Urine drug screen was positive for amphetamines. Routine MRI images of the brain requested to evaluate for signs of infectious etiology.

No MeSH data available.


Axial FLAIR images though superior cerebral ventricles showing multiple T2 bright lesions
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MPX2024_synpic20238: Axial FLAIR images though superior cerebral ventricles showing multiple T2 bright lesions


Microvascular Ischemia due to Amphetamine Use

Meyermann MWM - MedPix

Axial FLAIR images though superior cerebral ventricles showing multiple T2 bright lesions
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2024&req=5

MPX2024_synpic20238: Axial FLAIR images though superior cerebral ventricles showing multiple T2 bright lesions

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Microvascular Ischemia due to Amphetamine Use

History: 34 y/o F admitted through the ED with an unwitnessed loss of consciousness.

Findings: Numerous small to moderate foci of high signal intensity are found bilaterally in the periventricular white matter on. No hemorrhage or masses were visualized.

Ddx: Toxic Exposure, Early MS, Vasculitis, Collagen Vascular Disease, or Acute Encephalomyelitis.

Dxhow: Unknown.

Exam: Upon admission, pt was acutely psychotic and hyperthermic to 105.9 F. Lumbar puncture and initial CT were negative. Urine drug screen was positive for amphetamines. Routine MRI images of the brain requested to evaluate for signs of infectious etiology.

No MeSH data available.