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Schäden des Zentralnervensystems bei Drogenkonsum

Damages to the central nervous system due to illicit drug use

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Zusammenfassung

Klinisches Problem

Drogen können eine Myriade an Schäden des Zentralnervensystems (ZNS) verursachen. Die Toxizität rührt sowohl von der Droge selbst als auch von Verunreinigungen her. Am häufigsten treten ischämische und hämorrhagische Schlaganfälle auf, aber auch subarachnoidale Blutungen und Leukenzephalopathien. Der Artikel verschafft eine Übersicht über die wichtigsten bildmorphologisch beschriebenen ZNS-Erkrankungen als Folge von Drogenkonsum.

Empfehlungen für die Praxis

Bei Schlaganfällen oder unklaren Leukenzephalopathien bei jungen Erwachsenen ist Drogenmissbrauch in die differenzialdiagnostischen Überlegungen mit einzubeziehen.

Abstract

Clinical issue

Illicit drugs can cause a myriad of CNS damages. The toxicity might be caused by the drug itself or by diverse contaminants. The most common changes are ischemic and hemorrhagic stroke as well as subarachnoid hemorrhage and leukoencephalopathies. This article gives a review of the most important morphological imaging findings of the CNS in illicit drug users.

Practical recommendations

In cases of stroke or unclear leukoencephalopathies in young adults, the differential diagnosis of illicit drug use should be considered.

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Authors and Affiliations

  1. Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Kirrberger Straße, 66421, Homburg/Saar, Deutschland

    A. Bachhuber

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Correspondence to A. Bachhuber.

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Dieser Beitrag beinhaltet keine vom Autor durchgeführte Studien an Menschen oder Tieren.

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Bachhuber, A. Schäden des Zentralnervensystems bei Drogenkonsum. Radiologe 58, 1054–1059 (2018). https://doi.org/10.1007/s00117-018-0454-9

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  • DOI: https://doi.org/10.1007/s00117-018-0454-9

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