Document Detail


Teaching NeuroImages: Sciatic neuropathy after heroin abuse.
MedLine Citation:
PMID:  23960198     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 38-year-old woman presented with acute onset of severe pain in the left calf and foot after inhaling heroin. On examination, she had distal left lower extremity weakness and absent ankle jerk. EMG at 8 weeks suggested an axonal left sciatic neuropathy. HIV test was negative. Creatine kinase, erythrocyte sedimentation rate, and C-reactive protein were normal. MRI revealed prominent edema and enlargement of the left sciatic nerve without contrast enhancement (figure). She received weekly infusions of IV methylprednisolone leading to improvement in her symptoms and MRI findings. Recognized neuromuscular complications of acute heroin usage include mononeuropathy, polyradiculoplexopathy, and rhabdomyolysis secondary to possible inflammatory or toxic mechanisms.(1,2.)
Authors:
Harvinder Kumar; Yuebing Li
Related Documents :
10769278 - Interferon-gamma and lipopolysaccharide potentiate monocyte tissue factor induction by ...
9117138 - Economic issues in coronary heart disease prevention.
11738308 - Statin therapy, inflammation and recurrent coronary events in patients following corona...
11084668 - Acute myocardial infarction in a 34-year-old hiv-positive female patient while undergoi...
12114848 - A phenomenon of heart-rate turbulence, its evaluation, and prognostic value.
19863298 - Ros1 asp2213asn polymorphism is not associated with coronary artery disease in a greek ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology     Volume:  81     ISSN:  1526-632X     ISO Abbreviation:  Neurology     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401060     Medline TA:  Neurology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e51     Citation Subset:  AIM; IM    
Affiliation:
From the Neuromuscular Center, Neurological Institute, Cleveland Clinic, OH.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Clinicopathologic differences among patients with behavioral variant frontotemporal dementia.
Next Document:  Teaching NeuroImages: Concurrent hemifacial spasm and trigeminal neuralgia due to vertebrobasilar do...