{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:37:03Z","timestamp":1791333423889,"version":"4.3.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"ERANET-Neuron","award":["01EW170A"],"award-info":[{"award-number":["01EW170A"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Study design<\/jats:title>\n                <jats:p>Case report.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>To report a clinical case of spinal cord infarction due to cocaine use.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Setting<\/jats:title>\n                <jats:p>Spinal Center, IRCCS Fondazione S. Lucia, Rome (Italy).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>Two\u00a0days after recreational use of cocaine, a 27-year-old Caucasic man was admitted to the emergency department for acute cervical pain, weakness in all four limbs, and urinary retention. A cervical spinal magnetic resonance imaging scan, performed after 2\u00a0days, showed a \u201cpencil-like\u201d lesion extending from C4 to T1 metamer, compatible with acute ischemia in the anterior spinal artery territory. Other causes of vascular disorders, as well as inflammatory and infectious disorders were ruled out. At admission in our department, the patient had an incomplete tetraplegia at level C6, an indwelling catheter, and was unable to stand and walk. After 3\u00a0months of rehabilitation, he had an AIS score D tetraplegia at level C7, was able to stand and walk using parallel bars, and indwelling catheter was replaced by intermittent catheterization.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion and conclusions<\/jats:title>\n                <jats:p>The etiology of medullary infarction may remain unexplained in nearly 30\u201340% of cases. Even if rare, cocaine-induced ischemic myelopathy should be considered and ruled out in the differential diagnosis of any acute nontraumatic myelopathy, especially in young patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-03223-4","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T11:05:54Z","timestamp":1643799954000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cocaine-related cervical spinal cord infarction: a\u00a0case report and review of the\u00a0literature"],"prefix":"10.1186","volume":"16","author":[{"given":"F.","family":"Pichiorri","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Masciullo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Foti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Molinari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Scivoletto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"issue":"4","key":"3223_CR1","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1148\/rg.274065103","volume":"27","author":"IG Hagan","year":"2007","unstructured":"Hagan IG, Burney K. Radiology of recreational drug abuse. Radiographics. 2007;27(4):919\u201340.","journal-title":"Radiographics"},{"issue":"980","key":"3223_CR2","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1136\/pgmj.2006.055970","volume":"83","author":"SD Treadwell","year":"2007","unstructured":"Treadwell SD, Robinson TG. Cocaine use and stroke. Postgrad Med J. 2007;83(980):389\u201394.","journal-title":"Postgrad Med J"},{"issue":"10","key":"3223_CR3","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1111\/j.1445-5994.2010.02337.x","volume":"40","author":"M Luigetti","year":"2010","unstructured":"Luigetti M, Cianfoni A, Conte A, Colosimo C, Tonali PA, Sabatelli M. Posterior ischaemic myelopathy associated with cocaine abuse. 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Cocaine-induced spinal cord infarction. Postgrad Med J. 2008;84(993):391. https:\/\/doi.org\/10.1136\/pgmj.2007.062224 (PMID: 18716023).","journal-title":"Postgrad Med J"},{"issue":"10","key":"3223_CR9","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1007\/s00234-002-0828-5","volume":"44","author":"S Weidauer","year":"2002","unstructured":"Weidauer S, Nichtweiss M, Lanfermann H, Zanella FE. Spinal cord infarction: MR imaging and clinical features in 16 cases. Neuroradiology. 2002;44(10):851\u20137.","journal-title":"Neuroradiology"},{"key":"3223_CR10","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1038\/sc.2011.31","volume":"49","author":"G Scivoletto","year":"2011","unstructured":"Scivoletto G, Laurenza L, Mammone A, Foti C, Molinari M. Recovery following ischemic myelopathies and traumatic spinal cord lesions. 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