Radiology Case Reports (Jul 2019)

Opiate leukoencephalopathy in a pediatric patient

  • Kevin Wong, DO,
  • Dane C Van Tassel, MD,
  • Jeffrey H Miller, MD,
  • Cory M Pfeifer, MD, MS

Journal volume & issue
Vol. 14, no. 7
pp. 829 – 831

Abstract

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A 17-year-old male presented from an outside facility in acute respiratory failure and profound hypotension. He was found to have classic MRI brain findings of opiate-induced leukoencephalopathy which was corroborated with urine drug screen and history. This entity has been described in the adults but is not as well recognized in the pediatric population. As the opiate epidemic continues to evolve, this case brings heightened awareness of this disorder to pediatric radiologists. Keywords: Opiate leukoencephalopathy, Pediatric opiate intoxication