An Unusual Presentation of Spasmoproxyvon Dependence from Manipur, India

Singh, Geeta; Magh, Senilo

doi:10.5530/ijmedph.2017.3.36

IJMEDPH

2017

DOI: 10.5530/ijmedph.2017.3.36

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An Unusual Presentation of Spasmoproxyvon Dependence from Manipur, India

Geeta Singh¹,

Senilo Magh²

Abstract: We report a case of a young male Opioid user who was taking an exceptionally high dose of Spasmoproxyvon (SP). Investigations did not reveal any significant deleterious effect to his health although he was using five times more than the documented toxic dose.

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2022

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MRI Spectrum of Toxic Encephalopathy—An Institutional Experience

2022

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Background: There are numerous toxins that affect our nervous system, both central and peripheral. Innumerable differentials exist in patients of acute encephalopathy and the list can be narrowed down with appropriate imaging. Specific neuroradiological features point to a particular diagnosis in a substantial number of cases. Objective: Through this study, we aimed to demonstrate the varied imaging findings of toxic encephalopathy on MRI encountered at our institute. Material and Methods: A retrospective analysis of the patients clinically diagnosed as toxic encephalopathy and referred for imaging between March 2015 and December 2019 was done. A total of 25 patients were included. Patient records were reviewed for clinical details, laboratory investigations, and treatment; the institute Picture Archiving and Communication System provided the imaging findings. Results: Patients presenting were aged between 22 and 55 years (mean—34.3 years). Four patients (16%) presented with imaging findings characteristic of Marchiafava-Bignami disease and six patients (24%) had MRI findings of Wernicke encephalopathy. Three patients (12%) had methanol poisoning sequelae while imaging findings of nitroimidazole drug toxicity were observed in another three patients (12%). Two patients (8%) each of carbon monoxide poisoning and lead toxicity were seen. We had one patient (4%) each of isoniazid, methyl iodide, dextropropoxyphene toxicity, chronic toluene abuse, and hyperglycemia-induced hemiballismus-hemichorea. Conclusion: Our study illustrates the amalgamated spectrum of MRI appearances in various subgroups of toxic encephalopathies. Imaging substantiated by relevant history and clinical manifestations can accurately diagnose the possible causative agent in the majority of the cases.

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MRI Spectrum of Toxic Encephalopathy—An Institutional Experience

2022

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An Unusual Presentation of Spasmoproxyvon Dependence from Manipur, India

Abstract: We report a case of a young male Opioid user who was taking an exceptionally high dose of Spasmoproxyvon (SP). Investigations did not reveal any significant deleterious effect to his health although he was using five times more than the documented toxic dose.

Cited by 1 publication

References 6 publications

MRI Spectrum of Toxic Encephalopathy—An Institutional Experience

MRI Spectrum of Toxic Encephalopathy—An Institutional Experience

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