Historique
Périodique
Intracerebral haemorrhage in young adults: the emerging importance of drug misuse
(Hémorragie intracérébrale chez les jeunes adultes : l'importance croissante de l'abus de drogues.)
Auteur(s) :
McEVOY A. W. ;
KITCHEN N. D. ;
THOMAS, D. G.
Année
2000
Page(s) :
1322-1324
Langue(s) :
Français
Refs biblio. :
33
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
PATHOLOGIE ORGANIQUE
;
APPAREIL CARDIOVASCULAIRE
;
HEMORRAGIE
;
CERVEAU
;
ETIOLOGIE
;
AMPHETAMINE
;
MDMA-ECSTASY
;
COCAINE
Note générale :
British Medical Journal, 2000, 320, 1322-1324
Résumé :
ENGLISH :
Contrary to past opinion, drug related intracerebral haemorrhage often seems to be related to an underlying vascular malformation. A history of severe headache immediately after using amphetamine, ecstasy, or cocaine should alert doctors to the possibility of intracerebral haemorrhage. Cerebral computed tomography should always be performed when severe headache or altered consciousness, or both, occur in relation to use of these compounds. Arteriography should be part of the evaluation of most young patients with non-traumatic intracerebral haemorrhage. Long term use of cocaine seems to predispose patients with incidental neurovascular anomalies to present at an earlier point than similar non-users of cocaine. A thorough medical history focusing on the use of illegal drugs and toxicological screening of urine and serum should be part of the evaluation of any young patient with a stroke. (Extract of the publication)
Affiliation :
Univ. Dep. Neurosurgery, Inst. Neurology, Natl Hosp. Neurology Neurosurgery, London WC1N 3BG
Royaume-Uni. United Kingdom.
Royaume-Uni. United Kingdom.
Cote :
A02003