TY  - JOUR
PY  - 2019//
TI  - Acute extensive myelopathy after single heroin and cocaine exposure in a patient with toxicological evidence of long-term drug abstinence
JO  - BMJ case reports
A1  - Ivanovski, Trajche
A1  - Espino Ibañez, Ana María
A1  - Barcelo Martin, Bernardino
A1  - Gomila Muñiz, Isabel
SP  - e2018228335
EP  - e2018228335
VL  - 12
IS  - 3
N2  - Heroin-related myelopathy is an uncommon but often devastating complication of heroin intake. It is usually reported in individuals exposed to intravenous heroin after a variable drug-free period, leading to acute and complete spinal cord injury with poor long-term outcome. We describe an original case of acute longitudinally extensive transverse myelopathy following single heroin and cocaine intravenous exposure after a long period of abstinence confirmed by toxicological hair and retrospective urine drug analysis. This case could provide new insights in the understanding of this rare neurological complication.<br><br>© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2018-228335
ID  - ref1
ER  -