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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 50-year-old woman reported to the emergency room due to walking instability&#44; right-side body paresis and diplopia with complete involvement of the right third cranial nerve&#46; As to her medical history&#44; the main observation was regular cocaine use for the last 20 years&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The brain computed tomography scan revealed clivus perforation &#40;white arrow&#41;&#46; The magnetic resonance imaging scan in turn also evidenced involvement of the odontoid process &#40;yellow circle and arrow&#41;&#44; consistent with regular cocaine use&#44; with an associated abscess that compressed the pons and bulb of the mesencephalon&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Cocaine is known to cause destruction due to vasoconstriction and necrosis of the nasal septum and hard palate&#44; but its effects on the skull base and even the cervical vertebras have been less widely described &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>"
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DOI: 10.1016/j.medine.2024.02.014
Available online 21 March 2024
Perforation of the skull base due to cocaine
Perforación de base de cráneo por cocaína
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Juan María Romeu Prieto, María Teresa Correas López, Jhoann Miguel Guerra Cuervo
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jmromeu@sescam.jccm.es

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a Complejo Hospitalario Universitario de Toledo, Toledo, Spain
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