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A case of cocaine-induced basilar artery thrombosis.

作者信息

MacEwen Clare, Ward Mike, Buchan Alastair

机构信息

Oxford Kidney Unit, Churchill Hospital, Oxford, UK.

出版信息

Nat Clin Pract Neurol. 2008 Nov;4(11):622-6. doi: 10.1038/ncpneuro0879. Epub 2008 Aug 5.

DOI:10.1038/ncpneuro0879
PMID:18679392
Abstract

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.

摘要

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