tailieunhanh - Báo cáo y học: "Stroke with neuropsychiatric sequelae after cannabis use in a man: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Stroke with neuropsychiatric sequelae after cannabis use in a man: a case report. | Trojak et al. Journal of Medical Case Reports 2011 5 264 http content 5 1 264 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Stroke with neuropsychiatric sequelae after cannabis use in a man a case report 1 112 1 Benoit Trojak Stephanie Leclerq Vincent Meille Catia Khoumri Jean-Christophe Chauvet-Gelinier Maurice Giroud2 Bernard Bonin1 and André Gisselmann1 Abstract Introduction The outcome of cerebral ischemic stroke associated with cannabis use is usually favorable. Here we report the first case of cannabis-related stroke followed by neuropsychiatric sequelae. Case presentation A 24-year-old Caucasian man was discovered in a deeply comatose non-reactive state after cannabis use. A magnetic resonance imaging scan of his brain showed bilateral multiple ischemic infarcts. The patient remained deeply comatose for four days after which time he developed other behavioral impairments and recurrent seizures. Conclusion Stroke related to cannabis use can be followed by severe neuropsychiatric sequelae. Concomitant alcohol intoxication is essential neither to the occurrence of this neurologic event nor to its severity. Introduction Over the past few years ischemic stroke associated with cannabis use has been reported in the literature. Typically this accident concerns young frequent cannabis smokers and usually occurs following cannabis consumption with simultaneous intake of alcohol which is also thought to play a role in the cerebrovascular event 1 . In most case reports the outcome of the neurovascular event was favorable and the patients rapidly recovered from stroke within hours or a few days. Here we report the case of a young man who presented to our hospital with stroke that led to four days of deep coma followed by neuropsychiatric sequelae. Moreover this stroke occurred in the absence of alcohol intoxication. Case presentation A 24-year-old Caucasian French man with no specific medical history was discovered in a deeply .

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