Opioid-associated amnestic syndrome (OAS)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Opioid-associated amnestic syndrome (OAS). It is most frequently caused by Fentanyl. Fully referenced neurology checklist.

Pathology

  • It is most frequently caused by Fentanyl
  • It has also been reported with Hydromorphone

Demographic features

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Diagnostic criteria

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Magnetic resonance imaging (MRI) brain

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Magnetic resonance spectroscopy (MRS) brain

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Other investigations

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Clinical differentials

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Radiological differentials

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References

  1. Ciurylo W, Noh E. Opioid-associated amnestic syndrome. Cureus 2021; 13:e16714. 
  2. Walker ML, Patel K, Li T, Kassir M. Opioid-associated amnestic syndrome. Cureus 2021; 13:e20056. 
  3. Taylor RG, Budhram A, Lee DH, Mirsattari SM. Opioid-associated amnestic syndrome observed with fentanyl patch use. CMAJ 2019; 191:E337-E339.
  4. Barash JA, Kofke WA. Connecting the dots: an association between opioids and acute hippocampal injury. Neurocase 2018; 24:124-131.
  5. Barash JA, Whitledge J, Watson CJ, et al. Opioid-associated amnestic syndrome: description of the syndrome and validation of a proposed definition. J Neurol Sci 2020; 417:117048. 
  6. And 3 more. Subscribe to see the full list

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