PT  - JOURNAL ARTICLE
AU  - Trajche Ivanovski
AU  - Ana María Espino Ibañez
AU  - Bernardino Barcelo Martin
AU  - Isabel Gomila Muñiz
TI  - Acute extensive myelopathy after single heroin and cocaine exposure in a patient with toxicological evidence of long-term drug abstinence
AID  - 10.1136/bcr-2018-228335
DP  - 2019 Mar 01
TA  - BMJ Case Reports
PG  - e228335
VI  - 12
IP  - 3
4099  - http://casereports.bmj.com/content/12/3/e228335.short
4100  - http://casereports.bmj.com/content/12/3/e228335.full
SO  - BMJ Case Reports2019 Mar 01; 12
AB  - 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.