Kunieda Takenobu, Imai Keisuke, Mori Takahisa, Izumoto Hajime, Takabatake Nozomu, Yamamoto Shinji
Department of Stroke Treatment, Shonan Kamakura General Hospital.
Rinsho Shinkeigaku. 2006 Apr;46(4):274-7.
We report a case of a young patient who had an ischemic stroke due to methylephedrine addiction. A 39-year-old man was admitted to our hospital because of right hemiplegia and persistent numbness. Brain diffusion-weighted magnetic resonance images demonstrated multiple hyperintensity spots in the deep and superficial borderzone area of the left hemisphere. The patient had no obvious diseases that might have caused ischemic stroke, including potential cardiac sources of embolism, vasculopathy of the cerebral artery, or abnormalities of blood coagulation. However, we found that the patient had started to abuse methylephedrine at the age of 20 years old, and we suspected that drug abuse might have caused his ischemic stroke. Although previous reports have associated ischemic stroke with ephedrine, no reports have related this condition to methylephedrine. However, our case suggests that methylephedrine abuse may cause ischemic stroke.
我们报告了一例因甲基麻黄碱成瘾导致缺血性中风的年轻患者。一名39岁男性因右侧偏瘫和持续性麻木入住我院。脑部弥散加权磁共振成像显示左半球深部和浅部边缘带区域有多个高信号斑点。该患者没有可能导致缺血性中风的明显疾病，包括潜在的心脏栓子来源、脑动脉血管病变或凝血异常。然而，我们发现该患者20岁时开始滥用甲基麻黄碱，我们怀疑药物滥用可能导致了他的缺血性中风。尽管先前的报告将缺血性中风与麻黄碱相关联，但尚无报告将这种情况与甲基麻黄碱联系起来。然而，我们的病例表明，滥用甲基麻黄碱可能导致缺血性中风。
