Levine S R, Washington J M, Jefferson M F, Kieran S N, Moen M, Feit H, Welch K M
Center for Cerebrovascular Disease Research, Henry Ford Hospital, Detroit, MI 48202.
Neurology. 1987 Dec;37(12):1849-53. doi: 10.1212/wnl.37.12.1849.
We present three cases of "crack" cocaine-associated stroke, together with a review of cocaine-associated cerebrovascular complications. Unlike previously reported cases tentatively associating ischemic stroke with cocaine, our patients had no other potential causes for their strokes. Although the exact mechanism of cocaine-related stroke remains uncertain, both disordered neurogenic control of the cerebral circulation as well as systemic factors (ie, acute hypertension) may play a role.
我们报告了3例与“快克”可卡因相关的中风病例，并对可卡因相关的脑血管并发症进行了综述。与之前初步将缺血性中风与可卡因联系起来的报道病例不同，我们的患者没有其他可能导致中风的原因。尽管可卡因相关中风的确切机制仍不确定，但大脑循环的神经源性控制紊乱以及全身因素（即急性高血压）可能都起了作用。
