TY - JOUR T1 - Acute extensive myelopathy after single heroin and cocaine exposure in a patient with toxicological evidence of long-term drug abstinence JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-228335 VL - 12 IS - 3 SP - e228335 AU - Trajche Ivanovski AU - Ana María Espino Ibañez AU - Bernardino Barcelo Martin AU - Isabel Gomila Muñiz Y1 - 2019/03/01 UR - http://casereports.bmj.com/content/12/3/e228335.abstract 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. ER -