{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:27:40Z","timestamp":1791491260102,"version":"4.3.4"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Butane is a colorless and inflammable gas widely available in daily lives, such as liquefied petroleum gas and fuels for cigarette lighters and camping stoves. It could be misused for recreational purposes, which occasionally leads to mortality and morbidity, including symptoms presumably due to hypoxic encephalopathy. A 34-year-old male with a butane abuse history for 6 years presented with fever, change in consciousness, and seizures. Magnetic resonance imaging of the head showed hyperintensity lesions in the bilateral medial thalamus, hypothalamus, infundibular wall, and periaqueductal gray, typical for Wernicke encephalopathy. After conservative treatment, he was discharged with the sequelae of mental impairment and Parkinsonism. Being abstained from butane for about 1 month, he had a new onset of gait disturbance with slow orthostatic tremor in the lower limbs. Butane encephalopathy may present with brain images typical of Wernicke encephalopathy and a clinical course of delayed deterioration, resembling that of hypoxic encephalopathy.<\/jats:p>","DOI":"10.4103\/ant.ant_113_0027","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T06:00:08Z","timestamp":1748498408000},"page":"109-112","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Butane Intoxication: A Case Report with Brain Images Resembling Wernicke Encephalopathy and a Delayed Sequela of Slow Orthostatic Tremor"],"prefix":"10.4103","volume":"34","author":[{"given":"Ting-Yi","family":"Tseng","sequence":"first","affiliation":[{"name":"Department of Neurology, Far Eastern Memorial Hospital, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vai-Hong","family":"Fong","sequence":"additional","affiliation":[{"name":"Department of Neurology, Far Eastern Memorial Hospital, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuei-Hong","family":"Kuo","sequence":"additional","affiliation":[{"name":"Division of Medical Imaging, Department of Radiology, Far Eastern Memorial Hospital, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Tai","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan"},{"name":"Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu-Hsien","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Neurology, Far Eastern Memorial Hospital, New Taipei, Taiwan"},{"name":"School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Department of Electronic Engineering, Asia Eastern University of Science and Technology, New Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,5,29]]},"reference":[{"key":"R3-20250613","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1111\/bcpt.13760","article-title":"A two-decade review of butane toxicity as a substance of abuse","volume":"131","author":"Vahabzadeh","year":"2022","journal-title":"Basic Clin Pharmacol Toxicol"},{"key":"R4-20250613","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1136\/emj.2003.014134","article-title":"Butane encephalopathy","volume":"22","author":"Harris","year":"2005","journal-title":"Emerg Med J"},{"key":"R5-20250613","first-page":"U1952","article-title":"Inhalant abuse in New Zealand","volume":"119","author":"Beasley","year":"2006","journal-title":"N Z Med J"},{"key":"R6-20250613","doi-asserted-by":"crossref","first-page":"91","DOI":"10.2147\/SAR.S135252","article-title":"Butane hash oil and dabbing:Insights into use, amateur production techniques, and potential harm mitigation","volume":"9","author":"Al-Zouabi","year":"2018","journal-title":"Subst Abuse Rehabil"},{"key":"R9-20250613","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.15537\/smj.2017.12.20811","article-title":"Fatal butane toxicity and delayed onset of refractory ventricular fibrillation","volume":"38","author":"Almulhim","year":"2017","journal-title":"Saudi Med J"},{"key":"R10-20250613","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1001\/archneur.1983.04050070063016","article-title":"Delayed neurologic sequelae in carbon monoxide intoxication","volume":"40","author":"Choi","year":"1983","journal-title":"Arch Neurol"},{"key":"R11-20250613","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1056\/NEJM199811263392206","article-title":"Carbon monoxide poisoning","volume":"339","author":"Ernst","year":"1998","journal-title":"N Engl J Med"},{"key":"R12-20250613","first-page":"e2481","article-title":"Delayed post-hypoxic leukoencephalopathy:A case series and review of the literature","volume":"10","author":"Katyal","year":"2018","journal-title":"Cureus"},{"key":"R13-20250613","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1002\/mds.27121","article-title":"Consensus statement on the classification of tremors. 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