Stroke following injection of a melted suppository.
OBJECTIVE
Stroke following the intravenous injection of drugs may be secondary to the direct effect of the substance itself or from embolization by the inert vehicle used in the manufacturing process of the drug.


METHODS
We describe a 39-year-old man who developed a left homonymous hemianopia after intravenous injection of a melted suppository.


CONCLUSIONS
Paradoxical fat embolism should be added to the possible list of stroke mechanisms in intravenous drug abusers.
Bitar
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Souers Stroke Institute, Department of Neurology, Saint Louis University Medical Center, MO 63110.
Gomez
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CR
D000328:Adult; D001799:Blood Sedimentation; D002533:Cerebral Angiography; D002544:Cerebral Infarction / Q000209:etiology* / Q000473:pathology; D006801:Humans; D004091:Hydromorphone / Q000008:administration & dosage / Q000009:adverse effects; D002542:Intracranial Embolism and Thrombosis / Q000209:etiology*; D008297:Male; D015819:Substance Abuse, Intravenous; D013488:Suppositories; D014057:Tomography, X-Ray Computed
D013488:Suppositories; D004091:Hydromorphone