[Cocaine-induced brain stem stroke associated to craneal midline destructive lesions]

Autor: B, Zandio Amorena, M E, Erro Aguirre, T, Cabada, T, Ayuso Blanco
Rok vydání: 2008
Předmět:
Zdroj: Neurologia (Barcelona, Spain). 23(1)
ISSN: 0213-4853
Popis: Abuse of cocaine and other sympathomimetic drugs has been reported as a significant risk factor for stroke. The physiopathologic mechanisms implicated are multifactorial. Chronic cocaine use leads to extensive destruction of osteocartilaginous structures of nose, sinuses and palate.We report the case of a 56 years-old woman with hypertension and smoke abuse who was admitted with a pontine paramedian infarction. Cranial resonance findings of midline destructive lesions lead to the suspicion of chronic cocaine consumption. The initial outcome was good but she was re-admitted nine months later with an extent pontomesencephalic infarction.Abuse of cocaine is a risk factor for stroke that should be considered not only in young patients. The pathogenic relationship between stroke and midline cocaine related destructive lesions is discussed.
Databáze: OpenAIRE