Literature DB >> 27517185

Incomplete paraplegia following use of heroin: a case report and review of the literature.

Stamatios A Papadakis1,2, Eleni C Bambourda3, Stefanos Papadakis3, Michalis Minas4, George Sapkas5.   

Abstract

Neurological complications involving the lumbar spine following intravenous injection of heroin was observed in a 28-year-old man. On admission, steroids were administrated, and the patient had a complete recovery after an interval of 2 days. There have been more than 46 cases reported in the literature with similar findings to the one presented here. The mechanism of neuropathology of heroin abuse is still unknown. Possible mechanisms are a toxic, allergic, or a hypersensitivity reaction. Rare cases of complete recovery have been reported.

Entities:  

Keywords:  Cauda equina syndrome; Heroin abuse; Incomplete paraplegia; Lumbar and brachial plexus lesions

Year:  2004        PMID： 27517185     DOI： 10.1007/s00590-004-0162-1

Source DB:  PubMed          Journal:  Eur J Orthop Surg Traumatol        ISSN： 1633-8065


  24 in total

1.  Unusual consequences of heroin overdose: rhabdomyolysis, acute renal failure, paraplegia and hypercalcaemia.

Authors:  R Kumar; D M West; M Jingree; A S Laurence
Journal:  Br J Anaesth       Date:  1999-09       Impact factor: 9.166

2.  Lumbar plexitis and rhabdomyolysis following abuse of heroin.

Authors:  R J Greenwood
Journal:  Postgrad Med J       Date:  1974-12       Impact factor: 2.401

3.  Cervical myelopathy following heroin administration.

Authors:  W R Thompson; M B Waldman
Journal:  J Med Soc N J       Date:  1970-05

4.  Brown-Sequard syndrome following heroin injection.

Authors:  G S Krause
Journal:  Ann Emerg Med       Date:  1983-09       Impact factor: 5.721

5.  Complications of attempted central venous injections performed by drug abusers.

Authors:  J W Lewis; N Groux; J P Elliott; F M Jara; F N Obeid; D J Magilligan
Journal:  Chest       Date:  1980-10       Impact factor: 9.410

6.  Anterior spinal artery syndrome after cervical injection of heroin.

Authors:  H Fleishon; S Mandel; A Arenas
Journal:  Arch Neurol       Date:  1982-11

Review 7.  The neuropathology of heroin abuse.

Authors:  A Büttner; G Mall; R Penning; S Weis
Journal:  Forensic Sci Int       Date:  2000-09-11       Impact factor: 2.395

8.  [Rhabdomyolysis and lumbosacral plexopathy in intravenous drug addict: report of a case].

Authors:  J Diaz Guzman; C Pastor Valverde; R Gil Grande; A Alonso Ortiz; J L Trueba Gutierrez
Journal:  An Med Interna       Date:  1996-02

9.  Guillan-Barré syndrome in heroin addiction.

Authors:  W R SMith; A F Wilson
Journal:  JAMA       Date:  1975-03-31       Impact factor: 56.272

10.  Rhabdomyolysis and concomitant neurological lesions after intravenous heroin abuse.

Authors:  J de Gans; J Stam; G K van Wijngaarden
Journal:  J Neurol Neurosurg Psychiatry       Date:  1985-10       Impact factor: 10.154
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