Nota Clínica

Diagnosis of stroke due to cocaine and its complications

D. Larrosa-Campo, C. Ramón-Carbajo, L. Benavente-Fernández, R. Álvarez-Escudero, N. Zeidan-Ramón, S. Calleja-Puerta, J. Pascual [REV NEUROL 2013;57:167-170] PMID: 23884871 DOI: https://doi.org/10.33588/rn.5704.2013164

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Volumen 57 | Number 04 | Nº of views of the article 9.667 | Nº of PDF downloads 1.188 | Article publication date 16/08/2013

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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. KeywordsBrain SPECT Cerebral hyperperfusion Cerebral ischaemia Cocaine Cranial magnetic resonance Intracranial vasospasm Transcranial Doppler ultrasonography CategoriesPatología vascular Técnicas exploratorias

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Nota Clínica

Diagnosis of stroke due to cocaine and its complications