Document Detail

Subarachnoid haemorrhage with "Ecstasy" abuse in a young adult.
MedLine Citation:
PMID:  12536290     Owner:  NLM     Status:  MEDLINE    
Abuse of the drugs like amphetamine, cocaine and "Ecstasy" may be complicated by intracerebral, subdural or subarachnoid haemorrhage. Contrary to historical opinion, drug-related intracranial haemorrhage (ICH) is frequently related to an underlying vascular malformation. We report the case of an 18-year-old man with a history of Ecstasy abuse preceding the onset of severe occipital headache. Cerebral computed tomography revealed right-sided subarachnoid haemorrhage and cerebral angiography showed right-sided middle cerebral artery aneurysm of 1 cm diameter. The patient was treated surgically with aneurysm clipping. Three weeks after onset of intracranial haemorrhage, neurological examination demonstrated normal findings. A history of severe headache immediately after using amphetamine, Ecstasy, or cocaine should alert doctors to the possibility of intracerebral haemorrhage. Arteriography should be part of the evaluation of most young patients with stroke or non-traumatic ICH.
J Auer; R Berent; T Weber; E Lassnig; B Eber
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology     Volume:  23     ISSN:  1590-1874     ISO Abbreviation:  Neurol. Sci.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2003-01-21     Completed Date:  2003-03-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100959175     Medline TA:  Neurol Sci     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  IM    
Second Medical Department, Division of Cardiology and Intensive Care, General Hospital Wels, Grieskirchnerstrasse 42, A-4600 Wels, Austria.
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MeSH Terms
Cerebral Angiography
Headache / etiology
Hemiplegia / etiology
Intracranial Aneurysm / complications*,  diagnosis,  surgery
N-Methyl-3,4-methylenedioxyamphetamine / adverse effects*
Recovery of Function
Seizures / etiology
Subarachnoid Hemorrhage / chemically induced*,  diagnosis*,  surgery
Substance-Related Disorders / complications*
Tomography, X-Ray Computed
Reg. No./Substance:

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