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We report a case of a 16-year-old girl who presented with complete paraplegia after a heroin overdose. Spinal magnetic resonance imaging showed diffuse thoracic spinal cord abnormalities. She rapidly recovered after high dose intravenous corticosteroids and, upon hospital discharge 2 weeks later, required minimal assistance with ambulation. This case represents the youngest patient reported with the rare complication of myelopathy associated with heroin use.<\/jats:p>","DOI":"10.1177\/2329048x211030757","type":"journal-article","created":{"date-parts":[[2021,7,29]],"date-time":"2021-07-29T05:17:33Z","timestamp":1627535853000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A Case Report of Myelopathy Following Heroin Overdose in a Child"],"prefix":"10.1177","volume":"8","author":[{"given":"Ana","family":"Melikishvili","sequence":"first","affiliation":[{"name":"Division of Pediatric Neurology, Department of Pediatrics, Nemours Alfred I. duPont Hospital for Children, Wilmington, DE, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8893-3483","authenticated-orcid":false,"given":"Bijal","family":"Patel","sequence":"additional","affiliation":[{"name":"Section of Neurology, Department of 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