Ischemic stroke associated with the use of a synthetic cannabinoid (spice)
| Autor: | Helge H. Müller, Caroline Lücke, Kristin Machold, Tobias Struffert, Sebastian Moeller, Stefan T. Gerner, Stefan Schwab, Bernhard Schwarze, Alexandra Philipsen, Martin Köhrmann |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Spice Medizin Brain Ischemia Designer Drugs Brain ischemia 03 medical and health sciences 0302 clinical medicine Synthetic cannabinoids medicine Humans Medical history 030212 general & internal medicine Intensive care medicine Stroke General Psychology Cannabinoids Illicit Drugs business.industry General Medicine medicine.disease Psychiatry and Mental health Anesthesia Ischemic stroke Etiology Cannabinoid business 030217 neurology & neurosurgery medicine.drug |
| Popis: | Synthetic cannabinoids, i.e. "spice", are psychoactive drugs with increasing use worldwide. Spice may have harmful neuropsychiatric and physical side effects. Here, we present the case of a 25-year-old man with ischemic stroke after smoking spice on the previous evening. Diagnostic work-up was negative for other common causes of stroke. Toxicology screen unveiled the cannabimimetic ADB-FUBINACA in the drug sample and in patient's urine. The cardiac sympathomimetic effect of spice might have triggered an unnoticed episode of tachyarrhythmia and resulted in stroke via cardioembolic etiology. Thus, in absence of other risk factors, a careful patient history of spice use is recommended for patients with acute neurological deficits. |
| Databáze: | OpenAIRE |
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