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Titolo:
COCAINE ABUSE - WITH SPECIAL REFERENCE TO CEREBROVASCULAR COMPLICATIONS
Autore:
LALOUSCHEK W; SCHNIDER P; AULL S; UHL F; ZEILER K; DEECKE L; LESCH OM;
Indirizzi:
UNIV VIENNA,NEUROL KLIN,WAHRINGER GURTEL 18-20 A-1090 VIENNA AUSTRIA UNIV VIENNA,PSYCHIAT KLIN VIENNA AUSTRIA
Titolo Testata:
Wiener Klinische Wochenschrift
fascicolo: 17, volume: 107, anno: 1995,
pagine: 516 - 521
SICI:
0043-5325(1995)107:17<516:CA-WSR>2.0.ZU;2-8
Fonte:
ISI
Lingua:
GER
Soggetto:
SMOKING CRACK COCAINE; SELF-REPORT; STROKE; INFARCTION; ELIMINATION; PREVALENCE; HEMORRHAGE; ISCHEMIA; USERS; DRUGS;
Keywords:
CEREBROVASCULAR EVENTS; STROKE; DRUG ABUSE; COCAINE;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
64
Recensione:
Indirizzi per estratti:
Citazione:
W. Lalouschek et al., "COCAINE ABUSE - WITH SPECIAL REFERENCE TO CEREBROVASCULAR COMPLICATIONS", Wiener Klinische Wochenschrift, 107(17), 1995, pp. 516-521

Abstract

The role of drug abuse as a risk factor for cerebrovascular events has been underestimated, particularly in patients with juvenile stroke. The drug most often associated with acute cerebrovascular events is cocaine. After cocaine hydrochloride abuse intracerebral hemorrhages or subarachnoid hemorrhages-predominantly caused by ruptured aneurysms orarteriovenous malformations-are by far the most frequently observed cerebrovascular complications, whereas on abuse with the alkaloidal form (''crack'') intracranial hemorrhages and ischemic strokes are encountered with equal frequency. In most cases, the time interval between drug abuse and the cerebrovascular event is less than 3 hours. Several pathophysiological mechanisms are discussed as serving as triggers forthe cerebrovascular event, either alone or in combination. No specific antidote to cocaine is known. Nevertheless drug screening (urine analysis) should be performed immediately to allow optimal management of patients with drug-associated acute cerebrovascular events, especiallyin cases with juvenile stroke.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/09/19 alle ore 23:29:05