title: The face of hillbilly heroin and other images of narcotic abuse.
abstract: The nationally recognized popularity of recreational intranasal oxycodone abuse among rural Appalachians is apparent to West Virginian healthcare providers. Three recent cases of narcotic-induced injury at WVU Ruby Memorial Hospital demonstrate the facial bone necrosis associated with "hillbilly heroin" abuse as well as other imaging features of narcotic-induced intracranial ischemia. This paper shows how diagnostic imaging may facilitate clinical evaluation of patients with narcotic abuse.
authors.affiliation: West Virginia University Hospitals, USA.
authors.forename: Rachel
authors.initials: R
authors.lastname: Lagos
authors.forename: Michael
authors.initials: M
authors.lastname: Hogan
authors.forename: Karthikram
authors.initials: K
authors.lastname: Raghuram
mesh_terms: D000293:Adolescent; D000328:Adult; D001927:Brain Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D019970:Cocaine-Related Disorders / Q000000981:diagnostic imaging; D005147:Facial Bones / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009293:Opioid-Related Disorders / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014903:West Virginia; D055815:Young Adult