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Cocaine-induced vasospasm causing spinal cord transient ischemia.
MedLine Citation:
PMID:  24028991     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 25-year-old woman developed a spinal cord infarction leading to quadriplegia and respiratory insufficiency after consuming cocaine and vodka for several days. Within five months, she regained full motor and respiratory function. A literature review revealed 11 cases of cocaine-induced spinal cord infarction. A complete recovery from quadriplegia and respiratory failure following cocaine abuse has never been reported to date. The value of diffusion-weighted imaging in cocaine-induced spinal cord infarction is here presented and discussed. The literature proposes several mechanisms for cocaine-induced infarction including vasospasm, arteritis, and thrombosis. In this case, the imaging studies and the full recovery suggest that the spinal cord ischemia was secondary to a transient vasospasm of the anterior spinal artery.
Authors:
N Gorelik; D Tampieri
Publication Detail:
Type:  Journal Article     Date:  2012-06-26
Journal Detail:
Title:  The neuroradiology journal     Volume:  25     ISSN:  1971-4009     ISO Abbreviation:  Neuroradiol J     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2013-09-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101295103     Medline TA:  Neuroradiol J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  364-7     Citation Subset:  -    
Affiliation:
Department of Neuroradiology, Montreal Neurological Institute and Hospital, McGill University; Montreal, QC, Canada - donatella.tampieri@mcgill.ca.
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