Multiple intracerebral hemorrhages after smoking "crack" cocaine.
After smoking "crack" cocaine and consuming large quantities of ethanol, a 36-year-old man developed multiple, bilateral, deep, and superficial cerebral hematomas. He was hypertensive for several days, but angiography revealed no evidence of vascular malformation or vasculitis. The multifocality of the hematomas and lack of underlying disease suggest that the hemorrhages resulted from cocaine-induced acute hypertension or arterial spasm, possibly potentiated by heavy ethanol consumption.
Department of Neurology, University of Michigan Medical Center, Ann Arbor.
R M
RM
Green
K M
KM
Kelly
T
T
Gabrielsen
S R
SR
Levine
C
C
Vanderzant
D000328:Adult; D000428:Alcohol Drinking; D002543:Cerebral Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging; D003042:Cocaine; D004357:Drug Synergism; D006801:Humans; D008297:Male; D019966:Substance-Related Disorders / Q000150:complications*; D014057:Tomography, X-Ray Computed
D003042:Cocaine