[Stroke and intracranial hemorrhage after cocaine abuse].
Cocaine abuse as a risk factor for acute cerebrovascular events has received too little attention, in particular in young patients. Cocaine hydrochloride causes mainly intracerebral and subarachnoidal bleeding, while crack (freebase) causes intracranial hemorrhage and ischemic infarctions with equal frequency. Although no specific antidote is known, an attempt should be made to detect the substance or its metabolites in the urine so as to provide optimal management, and encourage the patient to seek expert counselling.
Lalouschek
W
W
Klinik für Neurologie, Universität Wien.
Aull
S
S
Deecke
L
L
Lesch
O M
OM
Schnider
P
P
Zeiler
K
K
D000293:Adolescent; D000328:Adult; D002543:Cerebral Hemorrhage / Q000139:chemically induced*; D002544:Cerebral Infarction / Q000139:chemically induced*; D003042:Cocaine / Q000009:adverse effects*; D016578:Crack Cocaine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D009294:Narcotics / Q000009:adverse effects*; D012307:Risk Factors; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced; D019966:Substance-Related Disorders / Q000150:complications*
D016578:Crack Cocaine; D009294:Narcotics; D003042:Cocaine