마리화나 흡연으로 인해 발생한 젊은 연령 뇌경색 1례
A Case of Ischemic Stroke in Young Patient Associated with Marijuana Use
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A 21-year-old female patient complaining of hemiparesis was diagnosed with right middle cerebral artery infarction. No risk factor was found, despite an extensive young-age stroke work-up, except her history of marijuana use. The patient had smoked marijuana for treating depression for more than five years. Magnetic resonance angiography showed multifocal intra- and extracranial stenoses, suggesting cannabinoid-induced vasculopathy. Since the use of illicit drugs has increased nationwide, physicians should consider it as a possible cause of a stroke due to an unknown etiology.
Abstract
A 21-year-old female patient complaining of hemiparesis was diagnosed with right middle cerebral artery infarction. No risk factor was found, despite an extensive young-age stroke work-up, except her history of marijuana use. The patient had smoked marijuana for treating depression for more than five years. Magnetic resonance angiography showed multifocal intra- and extracranial stenoses, suggesting cannabinoid-induced vasculopathy. Since the use of illicit drugs has increased nationwide, physicians should consider it as a possible cause of a stroke due to an unknown etiology.
참고문헌 (16)
- Wolff V, "Strokes are possible complications of cannabinoids use", Epilepsy Behav, 70, pp.355~363 (2017)
- Thanvi BR, "Cannabis and stroke : is there a link", Postgrad Med J, 85, pp.80~83 (2009)
- Thayakaran R, "Thyroid replacement therapy, thyroid stimulating hormone concentrations, and long term health outcomes in patients with hypothyroidism : longitudinal study", BMJ, 366, pp.l4892~ (2019)
- Singh A, "Cardiovascular Complications of Marijuana and Related Substances : A Review", Cardiol Ther, 7, pp.45~59 (2018)
- Wolff V, "Cannabis-related Stroke Myth or Reality", Stroke, 44, pp.558~563 (2013)
- Wolff V, "Characteristics and prognosis of ischemic stroke in young cannabis users compared with non-cannabis users", J Am Coll Cardiol, 66, pp.2052~2053 (2015)
- Mateo I, "Recurrent stroke associated with cannabis use", J Neurol Neurosurg Psychiatry, 76, pp.435~437 (2005)
- Rumalla K, "Recreational marijuana use and acute ischemic stroke : A population-based analysis of hospitalized patients in the United States", J Neurol Sci, 364, pp.191~196 (2016)
- Hemachandra D, "Heavy cannabis users at elevated risk of stroke : evidence from a general population survey", Aust NZ J Public Health, 40, pp.226~230 (2016)
- Lee IH, "Cerebral Infarction Associated with Marijuana", Journal of the Korean Neurological Association, 17(2), pp.294~297 (1999)
- Jo Sung Jung, "Ischemic Stroke after Use of Cannabis: a Case Report and Review of Literature", Investigative Magnetic Resonance Imaging, 22(3), pp.168~171 (2018), 대한자기공명의과학회[DOI]
- "Drug smuggling is blocked from the border at the customs"[URL]
- "A white paper of the illicit drugs chapter 3" (2017)[URL]
- Volpon LC, "Multiple Cerebral Infarcts in a Young Patient Associated With Marijuana Use", J Addict Med, 11(5), pp.405~407 (2017)
- Simunek L, "Cerebral Infarction in Young Marijuana Smokers-Case Reports", Acta Medica(Hradec Kralove), 61(2), pp.74~77 (2018)
- Solimini R, "Neurological Disorders in Medical Use of Cannabis : An Update", CNS Neurol Disord Drug Targets, 16(5), pp.527~533 (2017)
