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May 1990

A Stroke Associated With Cocaine Use

Author Affiliations

Section of Neurology The Mary Imogene Bassett Hospital 1 Atwell Rd Cooperstown, NY 13326

Arch Neurol. 1990;47(5):502. doi:10.1001/archneur.1990.00530050016006

To the Editor.  —We read with interest the article by Klonoff et al,1 in the September 1989 issue of the Archives, and wonder whether they or other workers have observed delayed strokes in former cocaine users. The following case is pertinent.

Report of a Case.  —A 20-year-old man was admitted to the hospital with an acute headache, ataxia, and right-sided weakness of abrupt onset. There was a positive family history for migraine, but the patient did not have a history of migraine. There had been a history of drug use, including cocaine, but the patient denied any drug use for the past 6 months, and denied intravenous use at any time. There was no history of hypertension, cardiac disease, diabetes, or clotting abnormalities. A computed tomographic scan showed a low-density area in the right cerebellar hemisphere consistent with a nonhemorrhagic stroke; an angiogram (of all four vessels) showed occlusion

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