• Neurocritical care · Jun 2016

    Case Reports

    Devastating Delayed Leukoencephalopathy Associated with Bath Salt Inhalation.

    • C L Kramer, D R Wetzel, and E F M Wijdicks.
    • Division of Critical Care Neurology, Mayo Clinic Rochester, Rochester, MN, USA. ckramer82@gmail.com.
    • Neurocrit Care. 2016 Jun 1; 24 (3): 454-8.

    Background"Bath salts" or synthetic cathinone toxicity remains a potentially deadly clinical condition. We report a delayed leukoencephalopathy with persistent minimally conscious state.MethodsCase report.ResultsA 36-year-old man presents with delayed encephalopathy, dysautonomia, fulminant hepatic failure, and renal failure from severe rhabdomyolysis after consuming bath salts. MRI showed diffusion restriction in the splenium of the corpus callosum and subcortical white matter.ConclusionsThe combination of acute leukoencephalopathy, rhabdomyolysis and fulminant hepatic failure may point to bath salt inhalation and should be known to neurointensivists.

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