Sirimaharaj Nopdanai, Thiankhaw Kitti
Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Ann Med Surg (Lond). 2021 Aug 5;68:102676. doi: 10.1016/j.amsu.2021.102676. eCollection 2021 Aug.
Arterial dissection is an important cause of stroke in young patients. Various factors influencing arterial dissection included amphetamine abuse and anterior circulation is the majority of stroke locations. We reported the Case of a 40-year-old male patient with chronic amphetamine used since childhood. He had increased the consumption from once a month to every other day in the last year. The patient suffered from acute left-side hemiparesis and neglect. Computed tomography angiography of the brain and neck vessels demonstrated non-atheromatous vasculopathy with a suspected dissection process of the right internal carotid artery and bilateral vertebral arteries. A review of recent data is also provided to clarify the possible mechanism.
动脉夹层是年轻患者中风的重要原因。影响动脉夹层的各种因素包括苯丙胺滥用，且大多数中风部位在前循环。我们报告了一例40岁男性患者的病例，该患者自幼长期使用苯丙胺。在过去一年中，他的使用频率从每月一次增加到每隔一天一次。该患者出现急性左侧偏瘫和偏侧忽视。脑部和颈部血管的计算机断层血管造影显示为非动脉粥样硬化性血管病变，怀疑右侧颈内动脉和双侧椎动脉有夹层形成过程。本文还对近期数据进行了综述，以阐明可能的机制。
