Lytic Lesion of the Clivus Following Intranasal Narcotic Abuse: First Case Report and Review of the Literature

Lytic Lesion of the Clivus Following Intranasal Narcotic Abuse: First Case Report and Review of the Literature

Intranasal narcotic delivery is increasingly frequent due to avoidance of intravenous injection from fear of HIV and because of availability of prescription drugs to treat chronic pain syndromes. Extensive destruction of the midfacial structures has been reported for over a decade.This is the first reported case of clival erosion related to intranasal narcotic abuse. Radiologists and clinicians should be aware of this potential complication because delayed detection and ongoing abuse can result in progressive damage and diminished success of attempted surgical repair.