Rapidly growing internal carotid artery aneurysm after amphetamine abuse: case report.
Amphetamine is one of the most common illicitly abused drugs in certain countries. It is a potent sympathomimetic that may lead to vascular events, including stroke and myocardial infarction. Most reports of stroke after amphetamine abuse are of intracerebral hemorrhage. In this report, the authors describe a ruptured aneurysm of the right internal carotid artery in a young man with amphetamine abuse. It grew rapidly within 2 weeks. Surgery revealed fibrosis and fibrinoid necrosis around the aneurysm. The aneurysm was successfully embolized with Guglielmi detachable coil. A rapidly growing aneurysm in the major intracranial vessels resulting from amphetamine abuse is very rare.
Chen
Han-Jung
HJ
Department of Neurosurgery, Chang Gung University and Medical Center, Kaohsiung, Taiwan. chenmd@ms8.hinet.net
Liang
Cheng-Loong
CL
Lu
Kang
K
Lui
Chun-Chung
CC
D000328:Adult; D019969:Amphetamine-Related Disorders / Q000150:complications*; D002340:Carotid Artery Diseases / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000139:chemically induced* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011859:Radiography