A case of cocaine-induced basilar artery thrombosis

被引：7
|
作者：
MacEwen, Clare [1 ]
Ward, Mike [2 ]
Buchan, Alastair [3 ]
机构：
[1] Churchill Hosp, Oxford Kidney Unit, Oxford OX3 7LJ, England
[2] Oxford Radcliffe Hosp NHS Trust, Oxford, England
[3] Univ Oxford, Oxford, England
来源：
NATURE CLINICAL PRACTICE NEUROLOGY | 2008年 / 4卷 / 11期
关键词：
acute stroke; angiography; cocaine; hemorrhagic complications; thrombolysis;
D O I：
10.1038/ncpneuro0879
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
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. Investigation 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.
引用
收藏
页码：622 / 626
页数：5
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