A case of cocaine-induced basilar artery thrombosis.

BACKGROUND

A 40-year-old man presented to an emergency department with slurred speech, diplopia and agitation several hours after cocaine use. His level of consciousness rapidly dropped in the hours following presentation.

INVESTIGATIONS

Physical examination, CT scan of the head, cerebral angiography.

DIAGNOSIS

Cocaine-induced basilar artery thrombosis.

MANAGEMENT

Intra-arterial thombolysis, mechanical clot aspiration, intravenous abciximab, neurointensive care support, rehabilitation at a specialist stroke unit.