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J Neurol Neurosurg Psychiatry 2007;78:1198 doi:10.1136/jnnp.2007.118752
  • Neurological picture
    • Neurological picture

Complications from cervical intra-arterial heroin injection

  1. Michael L DiLuna1,
  2. Mohamad Bydon1,
  3. Murat Gunel1,
  4. Michele H Johnson2
  1. 1
    Department of Neurosurgery, Yale University School of Medicine, New Haven, Connecticut, USA
  2. 2
    Department of Diagnostic Imaging, Yale University School of Medicine, New Haven, Connecticut, USA
  1. Professor Murat Gunel, Department of Neurosurgery, TMP4, Yale University School of Medicine, 333 Cedar St, 06510, New Haven, Connecticut, USA; murat.gunel{at}yale.edu

    Complications from intravenous injections of heroin requiring neurosurgical intervention are rare, and range from the infectious (intracranial abscess, mycotic aneurysm) to the ischaemic (stroke).1 2 Lifetime abusers of intravenous heroin eventually develop a lack of vascular access as the superficial veins of the limbs and trunk sclerose …

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