Bartolomei F, Nicoli F, Swiader L, Gastaut J L
Service de Neurologie, Hôpital Sainte-Marguerite, Marseille.
Presse Med. 1992 Jun 6;21(21):983-6.
Three hours after sniffing a dose of heroin, a 30-year old man developed right hemiplegia with aphasia. Magnetic resonance imaging of the brain showed an infarct in the territory of the left anterior choroid artery. Cerebral vascular accidents occurring as complications of heroin addiction are rare: a review of the literature yielded only 13 documented cases. The main characteristics of these strokes are analysed and their pathogenetic mechanisms (immuno-allergic vasculitis, vascular spasm) are discussed.
一名30岁男子吸食一剂海洛因三小时后出现右侧偏瘫伴失语。脑部磁共振成像显示左侧脉络膜前动脉供血区梗死。作为海洛因成瘾并发症发生的脑血管意外很少见：文献回顾仅发现13例有记录的病例。分析了这些中风的主要特征并讨论了其发病机制（免疫过敏性血管炎、血管痉挛）。
