Acute multifocal neuropathy following cocaine inhalation

Abstract Introduction We report a young man, not a habitual cocaine user, who developed an acute multifocal neuropathy following a second exposure to inhaled cocaine. Methods Case report. Results Clinical and electrophysiological findings suggested an acute multiple mononeuropathy following cocaine...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical neuroscience 2017-02, Vol.36, p.134-136
Main Authors: de Souza, Aaron, Desai, Paresh K, de Souza, Rainha J
Format: Article
Language:English
Subjects:
Adolescent
Cocaine
Cocaine - poisoning
Humans
Inhalation
Magnetic resonance imaging
Male
Mononeuritis multiplex
Neurology
Neuromuscular disease
Peripheral neuropathy
Polyneuropathies - chemically induced
Polyneuropathies - diagnosis
Vasculitis
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Introduction We report a young man, not a habitual cocaine user, who developed an acute multifocal neuropathy following a second exposure to inhaled cocaine. Methods Case report. Results Clinical and electrophysiological findings suggested an acute multiple mononeuropathy following cocaine exposure. Imaging of the shoulder and pelvic girdles revealed multifocal denervation in selected proximal muscles. The patient was empirically treated with intravenous steroids to good effect. Discussion Cocaine use, although usually affecting the central nervous system, does produce peripheral nerve disease in rare instances. This unusual pattern of neurological involvement needs to be differentiated from the more common symptoms resulting from affection of the brain.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2016.10.015