Cocaine-induced Stroke in a First-time User

Journal Title: Journal of Clinical and Diagnostic Research - Year 2019, Vol 13, Issue 1

Abstract

ABSTRACT Cocaine is a widely used recreational drug that functions by inhibiting the reuptake of neurotransmitters in the brain, contributing to feelings of euphoria. Its use can result in stroke primarily through the mechanism of vasospasm, especially in the acute phase. Here, we present a case of a 47-year-old previously healthy male with no family or personal risk factors for stroke, who presented with acute neurological deficits after his first intranasal cocaine use with brain imaging showing scattered areas of restricted diffusion in his left Middle Cerebral Artery (MCA) territory and MCA/Posterior Cerebral Artery (PCA) watershed zone consistent with vasospasm. This case highlights the importance of considering a toxicology screen for cocaine even in the absence of history when working up a young patient presenting with stroke-like symptoms.

Authors and Affiliations

Mary Kate Driscoll, Nitish Kumar Sharma

Keywords

Related Articles

Molecular Characterization of Multidrug Resistant Strains of Acinetobacter baumannii Isolated from Intensive Care Units in West of Iran

Introduction: According to the results of various studies using phenotypic methods, the prevalence of Multidrug Resistant (MDR) Acinetobacter baumannii (A. baumannii) isolates has been increasing worldwide. Pulsed-Field...

Artificial Intelligence: Patient Care and Health Professional’s Education

ABSTRACT Healthcare technologies have captured extensive digitised data in the form of electronic medical record. With the availability of this stored digitised data and advance computational power systems at low cost, t...

Influence of Post Angulation between Coronal and Radicular Segment on the Fracture Resistance of Endodontically Treated Teeth

Introduction: The objectives of coronal restoration in the Endodontically Treated Teeth (ETT) include rehabilitation of aesthetics, function and prevention of coronal leakage. The long axis of root and the coronal segmen...

Implementation and Evaluation of NICU Registry in IRAN

Introduction: Specialized registry in the NICU (neonatal intensive care unit) is necessary to gather process and report data in an accurate and timely manner. An electronic registry could enable the mother and infant to...

Effect of Residential Yoga Camp on Psychological Fitness of Adolescents: A Cohort Study

ABSTRACT Introduction: Discovering and promoting ways that improve adolescents’ psychological fitness has been a recurrent concern in the field of health and psychology. Adolescence, as a period of transition, is highly...

Download PDF file
  • EP ID EP556767
  • DOI 10.7860/JCDR/2019/39707.12480
  • Views 89
  • Downloads 0

How To Cite

Mary Kate Driscoll, Nitish Kumar Sharma (2019). Cocaine-induced Stroke in a First-time User. Journal of Clinical and Diagnostic Research, 13(1), 4-5. https://europub.co.uk/articles/-A-556767