Intraventricular hemorrhage following amphetamine abuse

Imanse, Jaap G.; Vanneste, J.A.L.

doi:10.1212/wnl.40.8.1318

Cited by 30 publications

(7 citation statements)

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“…Hemorrhagic strokes, including intracerebral haematomas and subarachnoid haemorrhages (Delaney and Estes, 1980; Imanse and Vanneste, 1990; Yen et al ., 1994; Goplen et al ., 1995; Selmi et al ., 1995; Blank‐Reid, 1996; Davis and Swalwell, 1996) as well as ischaemic strokes (Brust, 1993; Manchanda and Connolly, 1993; Yen et al ., 1994; Hanyu et al ., 1995), have been found to be associated with the use of amphetamines. Recurrent transient ischaemic attacks and spinal cord infarctions have also occurred (Malik and Woolsey, 1991; Rodnitzky and Keyser, 1992).…”

Section: Strokesmentioning

confidence: 99%

Neurological complications of drug abuse: pathophysiological mechanisms

Neiman

Haapaniemi

Hillbom

2000

Euro J of Neurology

157

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Drug abuse is associated with a variety of neurological complications. The use of certain recreational drugs shows a marked temporal association with the onset of both haemorrhagic and ischaemic strokes, the majority of which develop within minutes to 1 h after the administration of the index drug. Delayed onset of stroke has also been observed. Acute, severe elevation of blood pressure, cardiac dysrhythmias, cerebral vasospasm, vasculitis, embolization due to infective endocarditis or dilated cardiomyopathy, embolization due to foreign material injected with the diluents under non-sterile conditions and 'street drug' contaminants with cardiovascular effects have been suggested as possible underlying mechanisms. Rupture of aneurysms and arteriovenous malformations have been detected in up to half of the patients with haemorrhagic stroke due to cocaine abuse. The less common findings reported have included a mycotic cerebrovascular aneurysm in a patient with infective endocarditis and haemorrhagic stroke. In addition to stroke, cocaine seems to provoke vascular headache. Seizures precipitated by recreational drug abuse are usually caused by acute intoxication in contrast to the withdrawal seizures encountered in subjects with alcohol abuse. Movement disorders and cerebral atrophy correlating with the duration of abuse have been described. Snorting of organic solvents may cause encephalopathy. Cases of spongiform leukoencephalopathy in heroin addicts have also been reported. Peripheral neuropathy is occasionally precipitated by drug poisoning after intravenous administration. Impurities of the drug, risky administration techniques, and the use of mixtures of various drugs, frequently with simultaneous alcohol drinking, should be taken into account when assessing the background of the adverse event as well as the overall lifestyle of the addicted subjects.

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Section: Strokesmentioning

confidence: 99%

Neurological complications of drug abuse: pathophysiological mechanisms

Neiman

Haapaniemi

Hillbom

2000

Euro J of Neurology

157

View full text Add to dashboard Cite

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“…8 One previous case of primary IVH following amphetamine abuse has been reported. 9 This case was associated with severe acute hypertension, but there was no evidence of vasculitis. Neuroimaging studies revealed a possible origin of the IVH from the left frontal periventricular region (similar to our case), which led to the clinical diagnosis of a small subependymal arteriovenous malformation.…”

Section: Discussionmentioning

confidence: 84%

Treatment of sympathomimetic induced intraventricular hemorrhage with intraventricular urokinase

Ziai

Triantaphyllopoulou

Razumovsky

et al. 2003

Journal of Stroke and Cerebrovascular Diseases

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“…Meth is a sympathomimetic drug and causes acute drug-induced hypertension, vasoconstriction, and progressive necrotizing vasculitis. [7][8][9] In the literature review, acute cerebrovascular disease, including ischemic and hemorrhagic strokes, had been reported. Cardiovascular complications included hypertension, ventricular tachyarrhythmias, and myocardial infarction.…”

Section: Discussionmentioning

confidence: 99%