Movement Disorders (revue)

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Manganic encephalopathy due to "ephedrone" abuse

Identifieur interne : 004186 ( Main/Merge ); précédent : 004185; suivant : 004187

Manganic encephalopathy due to "ephedrone" abuse

Auteurs : Yanush Sanotsky [Ukraine] ; Roman Lesyk [Ukraine] ; Lyudmyla Fedoryshyn [Ukraine] ; Iryna Komnatska [Ukraine] ; Yuriy Matviyenko [Ukraine] ; Stanley Fahn [États-Unis]

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RBID : Pascal:07-0391089

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English descriptors

Abstract

We describe the clinical and neuroimaging features of 6 drug-abuse patients with self-inflicted manganese poisoning. The patients injected a home-brewed mixture called "ephedrone" (slang term) that contained manganese to produce an amphetamine-like euphoria. The desired chemical product, phenylpropanoneamine (also called methcathinone), was synthesized from a common-cold-remedy compound using permanganate as the catalyst. Manganese was a by-product in the ephedrone mixture. After months of self-injections, a clinical picture emerged, consisting of apathy, bradykinesia, gait disorder with postural instability, and spastic-hypokinetic dysarthria. There was no response to levodopa. The MRI revealed symmetric hyperintense T1-weighted signals in the basal ganglia, typical of manganese accumulation.

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Pascal:07-0391089

Le document en format XML

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<div type="abstract" xml:lang="en">We describe the clinical and neuroimaging features of 6 drug-abuse patients with self-inflicted manganese poisoning. The patients injected a home-brewed mixture called "ephedrone" (slang term) that contained manganese to produce an amphetamine-like euphoria. The desired chemical product, phenylpropanoneamine (also called methcathinone), was synthesized from a common-cold-remedy compound using permanganate as the catalyst. Manganese was a by-product in the ephedrone mixture. After months of self-injections, a clinical picture emerged, consisting of apathy, bradykinesia, gait disorder with postural instability, and spastic-hypokinetic dysarthria. There was no response to levodopa. The MRI revealed symmetric hyperintense T1-weighted signals in the basal ganglia, typical of manganese accumulation.</div>
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