Issue: 2017 > December > case report

‘Khatatonia’ – cathinone-induced hypertensive encephalopathy

P. Bede, N. El-Kininy, F. O’Hara, P. Menon, E. Finegan, D. Healy
AbstractFull textPDF


Khat consumption is an under-recognised cause of hypertensive encephalopathy and intraparenchymal brain haemorrhage. We report the radiological findings of extensive periventricular, subcortical and brain stem white matter pathology of a patient who had consumed excessive amounts of Khat. The Khat plant contains cathinone, an amphetamine-like alkaloid which has been associated with chronic hypertensive end-organ damage, but is seldom considered a cause of cerebrovascular events in northern Europe.