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Ischaemic myelopathy associated with cocaine: clinical, neurophysiological, and neuroradiological features
  1. V Di Lazzaroa,
  2. D Restucciaa,
  3. A Olivieroa,
  4. P Proficea,
  5. R Nardonea,
  6. M Valeriania,
  7. C Colosimob,
  8. T Tartaglioneb,
  9. F Della Cortec,
  10. M A Pennisic,
  11. P Tonalia,d
  1. aIstituto di Neurologia, Università Cattolica, L go A Gemelli 8, 00168 Rome, Italy, bIstituto di Radiologia, Università Cattolica, L.go A. Gemelli 8, 00168 Rome, Italy, cIstituto di Anestesiologia e Rianimazione, Università Cattolica, L go A Gemelli 8, 00168 Rome, Italy, dIRCCS “Casa Sollievo della Sofferenza”, San Giovanni Rotondo, Italy
  1. Dr Vincenzo Di Lazzaro, Istituto di Neurologia, Università Cattolica, L.go A. Gemelli 8, 00168 Rome, Italy.

Abstract

Two patients with spinal infarction and one patient with the previously unreported complication of spinal transient ischaemic attack associated with cocaine misuse are reported. Spinal MRI documented an infarction in the territory of the anterior spinal artery in the first two patients and was completely normal in the patient with a transient ischaemic attack. Motor evoked potentials were abnormal in all three patients.

  • cocaine
  • myelopathy
  • motor evoked potentials

https://doi.org/10.1136/jnnp.63.4.531

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