Case of the Month: August 2013

Submitted by Emmanuil Smorodinsky, MD, and Marcel Maya, MD.

26-year-old patient with history of substance abuse brought in by ambulance unresponsive in acute respiratory distress and elevated creatine kinase levels. The following images were obtained.

For full-size images, please click on CT Brain 1 and CT Brain 2 .

What is the diagnosis?

A. Complications of antipsychotic drugs
B. Heroin abuse
C. Fahr disease
D. Methanol neurotoxicity

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