A 42-Year-Old Woman With Rapidly Expanding White Matter Lesions

被引:0
作者
Amiola, Tolulope O. [1 ]
Oh, Unsong [1 ]
Richard, Hope [2 ]
Newsome, Scott D. [3 ]
Graves, Jennifer [4 ]
Zamvil, Scott S. [5 ]
Goldman, Myla D. [1 ]
机构
[1] VCU Sch Med, Dept Neurol, Richmond, VA 23298 USA
[2] VCU Sch Med, Dept Neuropathol, Richmond, VA USA
[3] Johns Hopkins Univ Hosp, Dept Neurol, Baltimore, MD USA
[4] Univ Calif San Diego, Dept Neurosci, La Jolla, CA USA
[5] Univ Calif San Francisco, Dept Neurol, Program Immunol, San Francisco, CA USA
关键词
MULTIPLE-SCLEROSIS; LEVAMISOLE; COCAINE; LEUKOENCEPHALOPATHY; DIAGNOSIS; REVISIONS;
D O I
10.1212/NXI.0000000000200201
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 42-year-old woman and active cocaine user complained of subacutely worsening blurred vision and imbalance. Examination of the brain MRI showed rapidly expanding white matter lesions. Brain biopsy was consistent with inflammatory demyelination. Given an unusual presentation and a history of cocaine use, a broad differential diagnosis was considered including neurologic toxidromes.
引用
收藏
页数:6
相关论文
共 13 条
[1]   Adverse effects of levamisole in cocaine users: a review and risk assessment [J].
Brunt, Tibor Markus ;
van den Berg, Jorrit ;
Pennings, Ed ;
Venhuis, Bastiaan .
ARCHIVES OF TOXICOLOGY, 2017, 91 (06) :2303-2313
[2]   Prevalence of Levamisole in Urine Toxicology Screens Positive for Cocaine in an Inner-City Hospital [J].
Buchanan, Jennie A. ;
Heard, Kennon ;
Burbach, Cynthia ;
Wilson, Michael L. ;
Dart, Richard .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2011, 305 (16) :1657-1658
[3]   Susac-Like Syndrome in a Chronic Cocaine Abuser: Could Levamisole Play a Role? [J].
Hantson P. ;
Di Fazio V. ;
Del Mar Ramirez Fernandez M. ;
Samyn N. ;
Duprez T. ;
van Pesch V. .
Journal of Medical Toxicology, 2015, 11 (1) :124-128
[4]   Atypical inflammatory demyelinating syndromes of the CNS [J].
Hardy, Todd A. ;
Reddel, Stephen W. ;
Barnett, Michael H. ;
Palace, Jacqueline ;
Lucchinetti, Claudia F. ;
Weinshenker, Brian G. .
LANCET NEUROLOGY, 2016, 15 (09) :967-981
[5]   International Pediatric Multiple Sclerosis Study Group criteria for pediatric multiple sclerosis and immune-mediated central nervous system demyelinating disorders: revisions to the 2007 definitions [J].
Krupp, Lauren B. ;
Tardieu, Marc ;
Amato, Maria Pia ;
Banwell, Brenda ;
Chitnis, Tanuja ;
Dale, Russell C. ;
Ghezzi, Angelo ;
Hintzen, Rogier ;
Kornberg, Andrew ;
Pohl, Daniela ;
Rostasy, Kevin ;
Tenembaum, Silvia ;
Wassmer, Evangeline .
MULTIPLE SCLEROSIS JOURNAL, 2013, 19 (10) :1261-1267
[6]   Leukoencephalopathy induced by levamisole alone for the treatment of recurrent aphthous ulcers [J].
Liu, H. M. ;
Hsieh, W. J. ;
Yang, C. C. ;
Wu, V. C. ;
Wu, K. D. .
NEUROLOGY, 2006, 67 (06) :1065-1067
[7]   Clinical and radiographic spectrum of pathologically confirmed tumefactive multiple sclerosis [J].
Lucchinetti, C. F. ;
Gavrilova, R. H. ;
Metz, I. ;
Parisi, J. E. ;
Scheithauer, B. W. ;
Weigand, S. ;
Thomsen, K. ;
Mandrekar, J. ;
Altintas, A. ;
Erickson, B. J. ;
Koenig, F. ;
Giannini, C. ;
Lassmann, H. ;
Linbo, L. ;
Pittock, S. J. ;
Brueck, W. .
BRAIN, 2008, 131 :1759-1775
[8]   High dose cyclophosphamide treatment in Marburg variant multiple sclerosis A case report [J].
Nozaki, Kenkichi ;
Abou-Fayssal, Nada .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2010, 296 (1-2) :121-123
[9]   Differential diagnosis of suspected multiple sclerosis: an updated consensus approach [J].
Solomon, Andrew J. ;
Arrambide, Georgina ;
Brownlee, Wallace J. ;
Flanagan, Eoin P. ;
Amato, Maria Pia ;
Amezcua, Lilyana ;
Banwell, Brenda L. ;
Barkhof, Frederik ;
Corboy, John R. ;
Correale, Jorge ;
Fujihara, Kazuo ;
Graves, Jennifer ;
Harnegie, Mary Pat ;
Hemmer, Bernhard ;
Lechner-Scott, Jeannette ;
Marrie, Ruth Ann ;
Newsome, Scott D. ;
Rocca, Maria A. ;
Royal III, Walter ;
Waubant, Emmanuelle L. ;
Yamout, Bassem ;
Cohen, Jeffrey A. .
LANCET NEUROLOGY, 2023, 22 (08) :750-768
[10]   Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria [J].
Thompson, Alan J. ;
Banwell, Brenda L. ;
Barkhof, Frederik ;
Carroll, William M. ;
Coetzee, Timothy ;
Comi, Giancarlo ;
Correale, Jorge ;
Fazekas, Franz ;
Filippi, Massimo ;
Freedman, Mark S. ;
Fujihara, Kazuo ;
Galetta, Steven L. ;
Hartung, Hans Peter ;
Kappos, Ludwig ;
Lublin, Fred D. ;
Marrie, Ruth Ann ;
Miller, Aaron E. ;
Miller, David H. ;
Montalban, Xavier ;
Mowry, Ellen M. ;
Sorensen, Per Soelberg ;
Tintore, Mar ;
Traboulsee, Anthony L. ;
Trojano, Maria ;
Uitdehaag, Bernard M. J. ;
Vukusic, Sandra ;
Waubant, Emmanuelle ;
Weinshenker, Brian G. ;
Reingold, Stephen C. ;
Cohen, Jeffrey A. .
LANCET NEUROLOGY, 2018, 17 (02) :162-173