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
Deringer PM, Hamilton LL, Whelan MA. A Stroke Associated With Cocaine Use. Arch Neurol. 1990;47(5):502. doi:10.1001/archneur.1990.00530050016006