在使用克拉的患者中,双边海马毒性
Abhinav K Rao1, Thomas J Lee2, Jeffrey Bodle3
1Internal Medicine, Trident Medical Center, Summerville, South Carolina, USA abhirao156@gmail.com.
BMJ case reports
|January 27, 2025
概括
Kratom (Mitragyna speciosa) 的使用可能会导致罕见的中枢神经系统结构变化. 一个年轻人经历了记忆丧失和精神状态的改变,MRI显示 kratom 摄入后海马体异常.
科学领域:
- 神经科学是一个神经科学.
- 毒理学 毒理学 毒理学
- 神经学 神经学
背景情况:
- 克拉 (Mitragyna speciosa) 是一种新兴的娱乐性药物,具有已知的不良影响.
- 与kratom相关的中枢神经系统 (CNS) 结构变化很少被报告.
- 精神状态变化和记忆丧失是需要调查的重要神经症状.
研究的目的:
- 报告一个罕见的中枢神经系统结构变化与 kratom 使用相关的案例.
- 为了突出卡拉摄入的潜在神经毒性影响.
- 强调在改变精神状态的差异诊断中考虑kratom的重要性.
主要方法:
- 一个年轻的成年男性出现神经症状的病例报告.
- 临床评估包括实验室测试 (肝功能,氨水平).
- 大脑的磁共振成像 (MRI) 来评估结构变化.
主要成果:
- 患者在 kratom 消费后表现出精神状态的改变,前进性和逆向性失忆症.
- 实验室结果显示,氨酸氨转移酶和氨水平升高.
- 大脑MRI揭示了双边海马体T2高强度信号的变化,表明细胞毒性胀或结症.
结论:
- 摄入Kratom可以导致显著的神经缺陷和罕见的结构性大脑变化.
- 海马T2高强度是克拉毒性的潜在神经成像发现.
- 临床医生应考虑在患有无法解释的神经症状和精神状态改变的患者中使用kratom.
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