Cocaine-induced Stroke in a First-time UserCorrespondence Address :
Dr. Nitish Kumar Sharma,
123, Summer Street, Worcester, Massachusetts, USA.
Cocaine is a widely used recreational drug that functions by inhibiting the reuptake of neurotransmitters in the brain, contributing to feelings of euphoria. Its use can result in stroke primarily through the mechanism of vasospasm, especially in the acute phase. Here, we present a case of a 47-year-old previously healthy male with no family or personal risk factors for stroke, who presented with acute neurological deficits after his first intranasal cocaine use with brain imaging showing scattered areas of restricted diffusion in his left Middle Cerebral Artery (MCA) territory and MCA/Posterior Cerebral Artery (PCA) watershed zone consistent with vasospasm. This case highlights the importance of considering a toxicology screen for cocaine even in the absence of history when working up a young patient presenting with stroke-like symptoms.
Cocaine, First time cocaine use, Headache, Stroke
Mary Kate Driscoll, Nitish Kumar Sharma. COCAINE-INDUCED STROKE IN A FIRST-TIME USER. Journal of Clinical and Diagnostic Research [serial online] 2019 January [cited: 2019 Jan 23 ]; 13:OD04-OD05. Available from
Date of Submission: Sep 20, 2018
Date of Peer Review: Oct 26, 2018
Date of Acceptance: Nov 14, 2018
Date of Publishing: Jan 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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