title: Stroke following injection of a melted suppository.
abstract: 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.
authors.affiliation: Souers Stroke Institute, Department of Neurology, Saint Louis University Medical Center, MO 63110.
authors.forename: S
authors.initials: S
authors.lastname: Bitar
authors.forename: C R
authors.initials: CR
authors.lastname: Gomez
mesh_terms: 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
chemical_list: D013488:Suppositories; D004091:Hydromorphone