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Rehabilitation Practice and Science

Translated Title

非成癮者海洛因中毒所造成的神經肌肉病變：病例報告

Abstract

This 25 years old female was found comatous for 24 hours after she injected heroin for attempting suicide. She had no history of drug abuse and no history of inhalation or injection of heroin. She received naloxone therapy at first. After her general condition became stable, she was transferred to rehabilitation department. The symptoms included left side hemiplegia; redness, swelling, local heat and tenderness over face, ear and submandibular area; lymph node enlargement over neck; left peripheral facial nerve palsy and necrosis over medial side of right thigh. Later, the function of left lower extremity was better, but right lower extremity became weak. After regular follow-up for 5 months, left peripheral facial nerve palsy got totally recovered, and left upper limb got improved but right lower limb got no obvious improvement. In previous reports, neurological complications of intoxicity of heroin included monoparesis, tetraparesis, mimicking transverse myelitis, rhabdomyolysis, and lumbosacral plexopathy. Although the pathology was not precise on the harm of heroin intoxicity, factors of mechanical, toxicity, and immune were all mentioned. The factors which induced complications of heroin intoxicity were considered as allergy, intoxicity or both of them. The possibility was much higher than truma. By the history of this case, right lumbosacral plexus and muscle had no obvious compression phenomenon. So we consider that the neurological lesion is nontraumatic in this case.

Language

Traditional Chinese

First Page

87

Last Page

92

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