Cocaine-induced stroke in a young patient

Authors

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2023.207381

Keywords:

Cocaíne, Stroke, Young adult, Epidemiology

Abstract

The case report presented here addresses the relationship between cocaine use and stroke. A young adult patient arrived at a specialized unit with neurological deficits and a history of acute and long-term illicit drug use and presented no other comorbidities. In addition, he presented laboratory and serological tests without alterations. The only risk factor identified for stroke was, therefore, cocaine use. Thus, this work points to an eventual relationship between cocaine use and the case in question.

 

Downloads

Download data is not yet available.

Author Biographies

  • Taianne Maria da Cruz Rocha, Centro Universitário CESMAC

    Discente da Medicina

  • Luanny de Andrade Cardoso Fragoso, Centro Universitário, Maceió, (AL), Brasil

    Discente de Medicina

  • Vítor Nunes Rodrigues, Centro Universitário, Maceió, (AL), Brasil

    Discente de Medicina

  • Cláudio José dos Santos Júnior, Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, (AL), Brasil

    Mestre em Ensino em Saúde e Tecnologia

  • Euclides Mauricio Trindade Filho, Universidade Estadual de Ciências da Saúde de Alagoas, Maceió, (AL), Brasil

    Docente

References

Feigin VL, Brainin M, Norrving B, Martins S, Sacco RL, Hacke W, et al. World Stroke Organization (WSO): Global Stroke Fact Sheet 2022. International Journal of Stroke. 2022 Jan;17(1):18–29.

Lappin JM, Sara GE. Psychostimulant use and the brain. Addiction. 2019 Jul 19;114(11):2065–77.

Crepalde RDS, Bonadiman CSC, Malta DC, Naghavi M, Melo APS. The burden of mental disorders attributable by cocaine use: Global Burden of Diseases Study in Brazil, 1990 and 2019. Revista da Sociedade Brasileira de Medicina Tropical [Internet]. 2022 [cited 2022 Dec 6];55:undefined–undefined.

Richards JR, Le JK. Cocaine Toxicity [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2020.

Tsatsakis, Docea, Calina, Tsarouhas, Zamfira, Mitrut, et al. A Mechanistic and Pathophysiological Approach for Stroke Associated with Drugs of Abuse. Journal of Clinical Medicine. 2019 Aug 23;8(9):1295.

Rosário BDA, de Nazaré M de FS, Estadella D, Ribeiro DA, Viana M de B. Behavioral and neurobiological alterations induced by chronic use of crack cocaine. Reviews in the Neurosciences [Internet]. 2019 Dec 18 [cited 2022 Oct 9];31(1):59–75.

Middlekauff HR, Cooper ZD, Strauss SB. Drugs of Misuse: Focus on Vascular Dysfunction. Canadian Journal of Cardiology [Internet]. 2022 Sep [cited 2022 Dec 19];38(9):1364–77. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9474615/

Zhang S, Zhang W, Zhou G. Extended Risk Factors for Stroke Prevention. Journal of the National Medical Association. 2019 Aug;111(4):447–56.

Almaghrabi TS, McDonald MM, Cai C, Rahbar MH, Choi HA, Lee K, et al. Cocaine Use is Associated with More Rapid Clot Formation and Weaker Clot Strength in Acute Stroke Patients. International Journal of Cerebrovascular Disease and Stroke [Internet]. 2019 [cited 2022 Dec 19];2(1):110. Available from: https://pubmed.ncbi.nlm.nih.gov/31681912/

Vicente VS, Cabral NL, Nagal V, Guesser VV, Safanelli J. Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study. Arq. Neuro-Psiquiatr. 2018 June.

Man N, Chrzanowska A, Price O, Bruno R, Dietze PM, Sisson SA, et al. Trends in cocaine use, markets and harms in Australia, 2003–2019. Drug and Alcohol Review. 2021 Feb 24;40.

Gender characteristics of individual risk factors for the development of cerebrovascular accidents [Internet]. www.mediasphere.ru

Swetlik C, Migdady I, Hasan LZ, Buletko AB, et al. Cannabis Use and Stroke: Does a Risk Exist?. Journal of Addiction Medicine. 2022 March/April.

Powers WJ, Rabinstein AA, Ackerson T, Adeoye OM, Bambakidis NC, Becker K, et al. Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke [Internet]. 2019 Oct 30;50.

Algahtani H, Shirah B, Algahtany M, Alqahtani S, Abdelghaffar N. Cocaine-induced massive ischemic stroke treated by decompressive craniectomy with favorable outcome. Asian Journal of Neurosurgery. 2021 Dec;16(04):830–4.

Downloads

Published

2023-11-27

Issue

Section

Relato de Caso

How to Cite

1.
Rocha TM da C, Fragoso L de AC, Rodrigues VN, Santos Júnior CJ dos, Trindade Filho EM. Cocaine-induced stroke in a young patient. Medicina (Ribeirão Preto) [Internet]. 2023 Nov. 27 [cited 2024 Jun. 24];56(3):e-207381. Available from: https://periodicos.usp.br/rmrp/article/view/207381