Akella Ramya, Raj Rishi, Kannan Lakshmi, Jacob Aasems, Ganti Subramanya Shyam
Internal Medicine, Pikeville Medical Center, Pikeville, USA.
Endocrinology, Diabetes and Metabolism, Pikeville Medical Center, Pikeville, USA.
Cureus. 2022 Jun 6;14(6):e25693. doi: 10.7759/cureus.25693. eCollection 2022 Jun.
Cocaine is one of the most common causes of acute drug-related emergency department visits in the United States. It produces a dose-dependent increase in heart rate and blood pressure accompanied by increased arousal and a sense of self-confidence, euphoria, and well-being. Its use is typically followed by a craving for more of the drug. It can also lead to acute events such as myocardial infarction, seizures, and cerebrovascular events. Here, we present a case of cocaine-induced spinal cord ischemia resulting in quadriplegia. Our case highlights that, in a young patient presenting with acute non-traumatic myelopathy, it is important to consider cocaine use among other differentials.
在美国，可卡因是导致急性药物相关急诊就诊的最常见原因之一。它会使心率和血压呈剂量依赖性升高，同时伴有觉醒增强、自信心、欣快感和幸福感。使用可卡因后通常会渴望更多的药物。它还可能导致急性事件，如心肌梗死、癫痫发作和脑血管事件。在此，我们报告一例可卡因诱发的脊髓缺血导致四肢瘫痪的病例。我们的病例强调，对于出现急性非创伤性脊髓病的年轻患者，在其他鉴别诊断中考虑可卡因使用情况很重要。
