title: [Diagnosis of stroke due to cocaine and its complications].
abstract: INTRODUCTION. Cocaine is an independent cerebrovascular risk factor both for ischaemic and haemorrhagic events, above all among persons under 55 years of age. CASE REPORT. A case report of stroke due to the consumption of cocaine is used to review its pathophysiology and the complexity involved in the management and diagnosis of the associated complications. One of these complications reported in relation to the consumption of cocaine is vasospasm. This condition shares findings observed in ultrasound imaging studies with other conditions, such as early-onset post ischaemic hyperperfusion. Yet, there are important differences between the two as regards their treatment and prognosis. CONCLUSIONS. The consumption of cocaine is associated with cerebrovascular disease through a number of different mechanisms, which each give rise to different complications. By identifying these complications, correct management can be implemented.
authors.affiliation: Hospital Universitario Central de Asturias, 33006 Oviedo, Espana. davinialc@gmail.com
authors.forename: D
authors.initials: D
authors.lastname: Larrosa-Campo
authors.forename: C
authors.initials: C
authors.lastname: Ramon-Carbajo
authors.forename: L
authors.initials: L
authors.lastname: Benavente-Fernandez
authors.forename: R
authors.initials: R
authors.lastname: Alvarez-Escudero
authors.forename: N
authors.initials: N
authors.lastname: Zeidan-Ramon
authors.forename: S
authors.initials: S
authors.lastname: Calleja-Puerta
authors.forename: J
authors.initials: J
authors.lastname: Pascual
mesh_terms: D000328:Adult; D001037:Aphasia / Q000209:etiology*; D002560:Cerebrovascular Circulation / Q000187:drug effects; D003042:Cocaine / Q000009:adverse effects; D019970:Cocaine-Related Disorders / Q000150:complications*; D016578:Crack Cocaine / Q000009:adverse effects; D006423:Hemianopsia / Q000209:etiology*; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology; D018810:Magnetic Resonance Angiography; D008297:Male; D009553:Nimodipine / Q000627:therapeutic use; D012907:Smoking / Q000009:adverse effects; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial; D014665:Vasodilator Agents / Q000627:therapeutic use; D020301:Vasospasm, Intracranial / Q000139:chemically induced* / Q000503:physiopathology
chemical_list: D016578:Crack Cocaine; D014665:Vasodilator Agents; D009553:Nimodipine; D003042:Cocaine