Heroin toxicity
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Heroin toxicity. Inhalation of pyrolysate vapour, Inhalation in water, Intravenous injection, Transconjunctival. Fully referenced neurology checklist.
Modes of heroin delivery
- Inhalation of pyrolysate vapour
- Inhalation in water
- Intravenous injection
- Transconjunctival
Central neurological presentations
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Peripheral neurological presentations
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Systemic presentations
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References
- Tormoehlen LM. Toxic leukoencephalopathies. Psychiatr Clin North Am 2013; 36:277-292.
- Tormoehlen LM. Toxic leukoencephalopathies. Neurol Clin 2011; 29:591-605.
- Bach AG, Jordan B, Wegener NA, et al. Heroin spongiform leukoencephalopathy (HSLE). Clin Neuroradiol 2012; 22:345-349.
- Kriegstein AR, Shungu DC, Millar WS, et al. Leukoencephalopathy and raised brain lactate from heroin vapor inhalation ("chasing the dragon"). Neurology 1999; 53:1765-1773.
- Alambyan V, Pace J, Miller B, et al. The emerging role of inhaled heroin in the opioid epidemic: a review. JAMA Neurol 2018; 75:1423-1434.
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