Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas

Massimiliano Godani,1 Francesca Canavese,1 Sonia Migliorini,2 Massimo Del Sette1 1Neurology Unit, 2Department of Neuroradiology, Sant’Andrea Hospital, La Spezia, Italy Abstract: The practice of inhaling liquefied petroleum gas (LPG) to commit suicide is uncommon and almost exclusively a...

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Autores principales:	Godani M, Canavese F, Migliorini S, Del Sette M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/29e2a3e900ee4c2b9e795e6a96ac4b28
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spelling	oai:doaj.org-article:29e2a3e900ee4c2b9e795e6a96ac4b282021-12-02T01:16:11ZAtaxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas1178-2021https://doaj.org/article/29e2a3e900ee4c2b9e795e6a96ac4b282015-05-01T00:00:00Zhttp://www.dovepress.com/ataxia-with-parkinsonism-and-dystonia-after-intentional-inhalation-of--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Massimiliano Godani,1 Francesca Canavese,1 Sonia Migliorini,2 Massimo Del Sette1 1Neurology Unit, 2Department of Neuroradiology, Sant’Andrea Hospital, La Spezia, Italy Abstract: The practice of inhaling liquefied petroleum gas (LPG) to commit suicide is uncommon and almost exclusively a prerogative of the prison population. Numerous cases of sudden deaths caused by intentional propane and/or butane inhalation have been described, but these cases survived and a description of the consequences is very rare. We describe a prisoner who survived after voluntary inhalation of LPG, and who developed ataxia, Parkinsonism, and dystonia. Brain MRI showed bilateral hyperintensity in the basal ganglia and in the cerebellar hemispheres. The clinical evolution and the MRI abnormalities are similar to those described in cases of poisoning by CO where the mechanism of brain injury is related to histotoxic hypoxia. We believe that LPG, considered until now a mixture of gas with low neurotoxic power, may have caused direct toxic damage to the brain, mediated by a mechanism of hypoxia, such as in CO intoxication. Keywords: ataxia, Parkinsonism, dystonia, liquefied petroleum gasGodani MCanavese FMigliorini SDel Sette MDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 1157-1159 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Godani M Canavese F Migliorini S Del Sette M Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
description	Massimiliano Godani,1 Francesca Canavese,1 Sonia Migliorini,2 Massimo Del Sette1 1Neurology Unit, 2Department of Neuroradiology, Sant’Andrea Hospital, La Spezia, Italy Abstract: The practice of inhaling liquefied petroleum gas (LPG) to commit suicide is uncommon and almost exclusively a prerogative of the prison population. Numerous cases of sudden deaths caused by intentional propane and/or butane inhalation have been described, but these cases survived and a description of the consequences is very rare. We describe a prisoner who survived after voluntary inhalation of LPG, and who developed ataxia, Parkinsonism, and dystonia. Brain MRI showed bilateral hyperintensity in the basal ganglia and in the cerebellar hemispheres. The clinical evolution and the MRI abnormalities are similar to those described in cases of poisoning by CO where the mechanism of brain injury is related to histotoxic hypoxia. We believe that LPG, considered until now a mixture of gas with low neurotoxic power, may have caused direct toxic damage to the brain, mediated by a mechanism of hypoxia, such as in CO intoxication. Keywords: ataxia, Parkinsonism, dystonia, liquefied petroleum gas
format	article
author	Godani M Canavese F Migliorini S Del Sette M
author_facet	Godani M Canavese F Migliorini S Del Sette M
author_sort	Godani M
title	Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
title_short	Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
title_full	Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
title_fullStr	Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
title_full_unstemmed	Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
title_sort	ataxia with parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/29e2a3e900ee4c2b9e795e6a96ac4b28
work_keys_str_mv	AT godanim ataxiawithparkinsonismanddystoniaafterintentionalinhalationofliquefiedpetroleumgas AT canavesef ataxiawithparkinsonismanddystoniaafterintentionalinhalationofliquefiedpetroleumgas AT migliorinis ataxiawithparkinsonismanddystoniaafterintentionalinhalationofliquefiedpetroleumgas AT delsettem ataxiawithparkinsonismanddystoniaafterintentionalinhalationofliquefiedpetroleumgas
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Ataxia with Parkinsonism and dystonia after intentional inhalation of liquefied petroleum gas

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