title: Bilateral lesions of the globus pallidus in a young woman.
abstract: We report a case of stroke due to cocaine abuse in a 30-year-old woman. The initial examinations pointing to this diagnosis were CT and MRI. Magnetic Resonance Imaging revealed bilateral globus pallidus infarction characterized by restricted Diffusion with low ADC values. There was also a partial hemorrhagic component confirmed on T2* sequence. After gadolinium injection there was a ring enhancement consistent with a blood brain barrier leakage. Similar lesions have been described in post hypoxic-anoxic injuries such as following cardiac arrest, severe blood loss and CO intoxication.
authors: R
authors: R
authors: Kadi
authors: A
authors: A
authors: Rumy
authors: T
authors: T
authors: Stadnik
authors: M
authors: M
authors: Cannie
authors: C
authors: C
authors: Mabiglia
authors: L
authors: L
authors: Divano
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D002543:Cerebral Hemorrhage / Q000139:chemically induced / Q000175:diagnosis; D019970:Cocaine-Related Disorders / Q000150:complications*; D003287:Contrast Media; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging / Q000379:methods; D005260:Female; D005682:Gadolinium; D005917:Globus Pallidus / Q000000981:diagnostic imaging* / Q000473:pathology*; D006323:Heart Arrest / Q000139:chemically induced / Q000628:therapy; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D007442:Intubation, Intratracheal / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D011596:Psychomotor Disorders / Q000139:chemically induced*; D012121:Respiration, Artificial / Q000379:methods; D020521:Stroke / Q000139:chemically induced* / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D003287:Contrast Media; D005682:Gadolinium