“…Spice's association with seizures, heart attacks, renal failure, and now both ischemic and hemorrhagic stroke makes a thoughtful, thorough history critical. 9 Although another etiology of ICH may exist (e.g., labile hypertension, occult connective tissue disease, noninflammatory vasculitis, amyloid angiopathy), our patients had an otherwise unrevealing workup (erythrocyte sedimentation rate, hs-C-reactive protein, platelets, coagulation, transthoracic/transesophageal echocardiograms, hypercoagulability panel). Nonetheless, spice may contain other, unknown components.…”