Renard Dimitri, Brunel Hervé, Gaillard Nicolas
Department of Neurology, CHU Nîmes, Hôpital Caremeau, Nîmes Cedex 4, France.
Acta Neurol Belg. 2009 Jun;109(2):159-61.
Cocaine is a risk factor for both ischemic and haemorrhagic stroke. We present the case of a 31-year-old man with bilateral ischemia of the globus pallidus after excessive alcohol and intranasal cocaine use. Drug-related globus pallidus infarctions are most often associated with heroin. Bilateral basal ganglia infarcts after the use of cocaine, without concurrent heroin use, have never been reported. In our patient, transient cardiac arrhythmia or respiratory dysfunction related to cocaine and/or ethanol use were the most likely causes of cerebral hypoperfusion.
可卡因是缺血性和出血性中风的一个风险因素。我们报告一例31岁男性病例，该患者在过量饮酒和鼻吸可卡因后出现双侧苍白球缺血。与药物相关的苍白球梗死最常与海洛因有关。使用可卡因后出现双侧基底节梗死，且未同时使用海洛因的情况此前从未有过报道。在我们的患者中，与使用可卡因和/或乙醇相关的短暂性心律失常或呼吸功能障碍最有可能是脑灌注不足的原因。
