Skip to main content
Advertisement

Main menu

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home

User menu

  • Alerts
  • Log in

Search

  • Advanced search
American Journal of Neuroradiology
American Journal of Neuroradiology

American Journal of Neuroradiology

ASHNR American Society of Functional Neuroradiology ASHNR American Society of Pediatric Neuroradiology ASSR
  • Alerts
  • Log in

Advanced Search

  • Home
  • Content
    • Current Issue
    • Accepted Manuscripts
    • Article Preview
    • Past Issue Archive
    • Video Articles
    • AJNR Case Collection
    • Case of the Week Archive
    • Case of the Month Archive
    • Classic Case Archive
  • Special Collections
    • AJNR Awards
    • Low-Field MRI
    • Alzheimer Disease
    • ASNR Foundation Special Collection
    • Photon-Counting CT
    • View All
  • Multimedia
    • AJNR Podcasts
    • AJNR SCANtastic
    • Trainee Corner
    • MRI Safety Corner
    • Imaging Protocols
  • For Authors
    • Submit a Manuscript
    • Submit a Video Article
    • Submit an eLetter to the Editor/Response
    • Manuscript Submission Guidelines
    • Statistical Tips
    • Fast Publishing of Accepted Manuscripts
    • Graphical Abstract Preparation
    • Imaging Protocol Submission
    • Author Policies
  • About Us
    • About AJNR
    • Editorial Board
    • Editorial Board Alumni
  • More
    • Become a Reviewer/Academy of Reviewers
    • Subscribers
    • Permissions
    • Alerts
    • Feedback
    • Advertisers
    • ASNR Home
  • Follow AJNR on Twitter
  • Visit AJNR on Facebook
  • Follow AJNR on Instagram
  • Join AJNR on LinkedIn
  • RSS Feeds

AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Clinical ReportPediatric Neuroimaging

Dextromethorphan-Associated Neurotoxicity with Cerebellar Edema Syndrome in Young Children: Neuroimaging Features

Smily Sharma, Sarbesh Tiwari, Lokesh Saini, Taruna Yadav, Sujatha Manjunathan, Ananya Panda, Bharat Choudhary and Daisy Khera
American Journal of Neuroradiology February 2025, 46 (2) 390-394; DOI: https://doi.org/10.3174/ajnr.A8455
Smily Sharma
aFrom the Department of Diagnostic and Interventional Radiology (S.S., S.T., T.Y., A.P.), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Smily Sharma
Sarbesh Tiwari
aFrom the Department of Diagnostic and Interventional Radiology (S.S., S.T., T.Y., A.P.), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Sarbesh Tiwari
Lokesh Saini
bDepartment of Pediatrics (L.S., S.M., B.C., D.K.), All India Institute of Medical Sciences, Jodhpur, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Taruna Yadav
aFrom the Department of Diagnostic and Interventional Radiology (S.S., S.T., T.Y., A.P.), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Taruna Yadav
Sujatha Manjunathan
bDepartment of Pediatrics (L.S., S.M., B.C., D.K.), All India Institute of Medical Sciences, Jodhpur, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ananya Panda
aFrom the Department of Diagnostic and Interventional Radiology (S.S., S.T., T.Y., A.P.), All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • ORCID record for Ananya Panda
Bharat Choudhary
bDepartment of Pediatrics (L.S., S.M., B.C., D.K.), All India Institute of Medical Sciences, Jodhpur, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Daisy Khera
bDepartment of Pediatrics (L.S., S.M., B.C., D.K.), All India Institute of Medical Sciences, Jodhpur, India
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF
Loading

References

  1. 1.↵
    1. Kim DD,
    2. Prasad AN
    . Clinical and radiologic features of pediatric opioid use‐associated neurotoxicity with cerebellar edema (POUNCE) syndrome. Neurology 2020;94:710–12 doi:10.1212/WNL.0000000000009293 pmid:32198237
    CrossRefPubMed
  2. 2.↵
    1. Duran D,
    2. Messina RD,
    3. Beslow LA, et al
    . Malignant cerebellar edema subsequent to accidental prescription opioid intoxication in children. Front Neurol 2017;8:362 doi:10.3389/fneur.2017.00362 pmid:28790973
    CrossRefPubMed
  3. 3.↵
    1. Wheaton T,
    2. Toll BJ,
    3. Breznak K, et al
    . Opioid-induced toxic leukoencephalopathy: a case report and review of the literature. Heliyon 2019;5:e03005 doi:10.1016/j.heliyon.2019.e03005 pmid:31879710
    CrossRefPubMed
  4. 4.↵
    1. Chen CH,
    2. Mullen AJ,
    3. Hofstede D, et al
    . Malignant cerebellar edema in three-year-old girl following accidental opioid ingestion and fentanyl administration. Neuroradiol J 2019;32:386–91 doi:10.1177/1971400919863713 pmid:31328634
    CrossRefPubMed
  5. 5.↵
    1. Haut LN,
    2. Radhakrishnan R,
    3. Lutfi R, et al
    . Acute cytotoxic cerebellar edema subsequent to fentanyl patch intoxication in an infant. Case Rep Crit Care 2021;2021:9449565 doi:10.1155/2021/9449565 pmid:34540294
    CrossRefPubMed
  6. 6.↵
    1. Reisner A,
    2. Hayes LL,
    3. Holland CM, et al
    . Opioid overdose in a child: case report and discussion with emphasis on neurosurgical implications. J Neurosurg Pediatr 2015;16:752–57 doi:10.3171/2015.4.PEDS14667 pmid:26339960
    CrossRefPubMed
  7. 7.↵
    1. Nanan R,
    2. Von Stockhausen HB,
    3. Petersen B, et al
    . Unusual pattern of leukoencephalopathy after morphine sulphate intoxication. Neuroradiology 2000;42:845–48 doi:10.1007/s002340000442 pmid:11151694
    CrossRefPubMedWeb of Science
  8. 8.↵
    1. Bellot B,
    2. Michel F,
    3. Thomachot L, et al
    . Acute leukoencephalopathy after buprenorphine intoxication in a 2-year-old child. Eur J Paediatr Neurol 2011;15:368–71 doi:10.1016/j.ejpn.2011.03.002 pmid:21450498
    CrossRefPubMed
  9. 9.↵
    1. Haghighi-Morad M,
    2. Naseri Z,
    3. Jamshidi N, et al
    . Methadone-induced encephalopathy: a case series and literature review. BMC Med Imaging 2020;20:6–9 doi:10.1186/s12880-020-0410-9
    CrossRefPubMed
  10. 10.↵
    1. Tiong SC,
    2. Chieng JS,
    3. Khoo HW, et al
    . Methadone-induced toxic encephalopathy in pediatric patients: two case reports. J Radiol Case Rep 2019;13:1–9 doi:10.3941/jrcr.v13i5.3658 pmid:31558953
    CrossRefPubMed
  11. 11.↵
    1. Mills F,
    2. MacLennan SC,
    3. Devile CJ, et al
    . Severe cerebellitis following methadone poisoning. Pediatr Radiol 2008;38:227–29 doi:10.1007/s00247-007-0635-6 pmid:17952429
    CrossRefPubMed
  12. 12.↵
    1. Rando J,
    2. Szari S,
    3. Kumar G, et al
    . Methadone overdose causing acute cerebellitis and multi-organ damage. Am J Emerg Med 2015;34:343.e1–3 doi:10.1016/j.ajem.2015.06.032 pmid:26164407
    CrossRefPubMed
  13. 13.↵
    1. Journey JD,
    2. Agrawal S,
    3. Stern E
    . Dextromethorphan toxicity. StatPearl. Treasure Island, Florida; StatPearls Publishing; 2024. https://www.ncbi.nlm.nih.gov/books/NBK538502. Accessed August 2, 2024
  14. 14.↵
    1. Rosenbaum C,
    2. Boyer EW
    . Dextromethorphan misuse and poisoning: clinical features and diagnosis. UpToDate. https://www.uptodate.com/contents/dextromethorphan-misuse-and-poisoning-clinical-features-and-diagnosis. Accessed December 28, 2023
  15. 15.↵
    Medline Plus. Dextromethorphan. 2019. https://medlineplus.gov/druginfo/meds/a682492.html. Accessed August 2, 2024
  16. 16.↵
    US Food and Drug Administration. Use caution when giving cough and cold products to kids. https://www.fda.gov/drugs/special-features/use-caution-when-giving-cough-and-cold-products-kids. Accessed August 2, 2024
  17. 17.↵
    1. Kumar D,
    2. Shinde V,
    3. Khuraijam S, et al
    . Two cases of dextromethorphan overdose reversed by naloxone. Cureus 2023;15:e34501 doi:10.7759/cureus.34501 pmid:36874326
    CrossRefPubMed
  18. 18.↵
    1. Mallikarjun KS,
    2. Parsons MS,
    3. Nigogosyan Z, et al
    . Neuroimaging findings in CHANTER syndrome: a case series. AJNR Am J Neuroradiol 2022;43:1136–41 doi:10.3174/ajnr.A7569 pmid:35798385
    Abstract/FREE Full Text
  19. 19.↵
    1. Jasne AS,
    2. Alsherbini KH,
    3. Smith MS, et al
    . Cerebellar hippocampal and basal nuclei transient edema with restricted diffusion (CHANTER) syndrome. Neurocrit Care 2019;31:288–96 doi:10.1007/s12028-018-00666-4 pmid:30788708
    CrossRefPubMed
  20. 20.↵
    1. Atac MF,
    2. Vilanilam GK,
    3. Damalcheruvu PR, et al
    . Cerebellar, hippocampal, and basal nuclei transient edema with restricted diffusion (CHANTER) syndrome in the setting of opioid and phencyclidine use. Radiol Case Rep 2023;18:3496–500 doi:10.1016/j.radcr.2023.07.015 pmid:37554665
    CrossRefPubMed
  21. 21.↵
    1. McConnell E,
    2. Bai J,
    3. McConnel E
    . Hippocampal and cerebellar involvement in opioid-associated amnestic syndrome: a unique case report. Cureus 2023;15:e44248 doi:10.7759/cureus.44248 pmid:37772208
    CrossRefPubMed
  22. 22.↵
    1. Zagon IS,
    2. Gibo DM,
    3. McLaughlin PJ
    . Adult and developing human cerebella exhibit different profiles of opioid binding sites. Brain Res 1990;523:62–68 doi:10.1016/0006-8993(90)91635-t pmid:2169964
    CrossRefPubMedWeb of Science
PreviousNext
Back to top

In this issue

American Journal of Neuroradiology: 46 (2)
American Journal of Neuroradiology
Vol. 46, Issue 2
1 Feb 2025
  • Table of Contents
  • Index by author
  • Complete Issue (PDF)
Advertisement
Print
Download PDF
Email Article

Thank you for your interest in spreading the word on American Journal of Neuroradiology.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Dextromethorphan-Associated Neurotoxicity with Cerebellar Edema Syndrome in Young Children: Neuroimaging Features
(Your Name) has sent you a message from American Journal of Neuroradiology
(Your Name) thought you would like to see the American Journal of Neuroradiology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Cite this article
Smily Sharma, Sarbesh Tiwari, Lokesh Saini, Taruna Yadav, Sujatha Manjunathan, Ananya Panda, Bharat Choudhary, Daisy Khera
Dextromethorphan-Associated Neurotoxicity with Cerebellar Edema Syndrome in Young Children: Neuroimaging Features
American Journal of Neuroradiology Feb 2025, 46 (2) 390-394; DOI: 10.3174/ajnr.A8455

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
0 Responses
Respond to this article
Share
Bookmark this article
Dextromethorphan Neurotoxicity in Children: Imaging
Smily Sharma, Sarbesh Tiwari, Lokesh Saini, Taruna Yadav, Sujatha Manjunathan, Ananya Panda, Bharat Choudhary, Daisy Khera
American Journal of Neuroradiology Feb 2025, 46 (2) 390-394; DOI: 10.3174/ajnr.A8455
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Purchase

Jump to section

  • Article
    • Graphical Abstract
    • Abstract
    • ABBREVIATIONS:
    • CASE SERIES
    • DISCUSSION
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Supplemental
  • Info & Metrics
  • Responses
  • References
  • PDF

Related Articles

  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Crossref (1)
  • Google Scholar

This article has been cited by the following articles in journals that are participating in Crossref Cited-by Linking.

  • Chlorphenamine/dextromethorphan/phenylephrine/dextromethorphan
    Reactions Weekly 2025 2049 1

More in this TOC Section

  • Neuroimaging Delineation and Progression of SLSMD
  • fetal brain development of 10 weeks gestation
  • CHARGE fetal MRI clival cleft
Show more PEDIATRIC NEUROIMAGING

Similar Articles

Advertisement

Indexed Content

  • Current Issue
  • Accepted Manuscripts
  • Article Preview
  • Past Issues
  • Editorials
  • Editor's Choice
  • Fellows' Journal Club
  • Letters to the Editor
  • Video Articles

Cases

  • Case Collection
  • Archive - Case of the Week
  • Archive - Case of the Month
  • Archive - Classic Case

More from AJNR

  • Trainee Corner
  • Imaging Protocols
  • MRI Safety Corner
  • Book Reviews

Multimedia

  • AJNR Podcasts
  • AJNR Scantastics

Resources

  • Turnaround Time
  • Submit a Manuscript
  • Submit a Video Article
  • Submit an eLetter to the Editor/Response
  • Manuscript Submission Guidelines
  • Statistical Tips
  • Fast Publishing of Accepted Manuscripts
  • Graphical Abstract Preparation
  • Imaging Protocol Submission
  • Evidence-Based Medicine Level Guide
  • Publishing Checklists
  • Author Policies
  • Become a Reviewer/Academy of Reviewers
  • News and Updates

About Us

  • About AJNR
  • Editorial Board
  • Editorial Board Alumni
  • Alerts
  • Permissions
  • Not an AJNR Subscriber? Join Now
  • Advertise with Us
  • Librarian Resources
  • Feedback
  • Terms and Conditions
  • AJNR Editorial Board Alumni

American Society of Neuroradiology

  • Not an ASNR Member? Join Now

© 2025 by the American Society of Neuroradiology All rights, including for text and data mining, AI training, and similar technologies, are reserved.
Print ISSN: 0195-6108 Online ISSN: 1936-959X

Powered by HighWire