Ischemic Stroke after Use of Cannabis: a Case Report and Review of Literature
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Cannabis or marijuana is the most commonly used recreational drug after alcohol in the world, and usage is generally recognized as having few serious adverse effects. However, usage is restricted in South Korea. The report of ischemic stroke associated with cannabis is rare in literature. We present a case of a 47-year-old female patient with no underlying disease presenting with acute ischemic stroke after smoking cannabis in South Korea. The result for synthetic cannabinoid metabolites (delta-9 tetrahydrocannabinol) screening was positive. Absence of other vascular risk factors and drug screening results suggest a causal role of cannabis in this ischemic stroke case. The patient eventually progressed to brain death. The underlying mechanism, clinical manifestation, and imaging findings of cannabis-related stroke will be reviewed.
Abstract
Cannabis or marijuana is the most commonly used recreational drug after alcohol in the world, and usage is generally recognized as having few serious adverse effects. However, usage is restricted in South Korea. The report of ischemic stroke associated with cannabis is rare in literature. We present a case of a 47-year-old female patient with no underlying disease presenting with acute ischemic stroke after smoking cannabis in South Korea. The result for synthetic cannabinoid metabolites (delta-9 tetrahydrocannabinol) screening was positive. Absence of other vascular risk factors and drug screening results suggest a causal role of cannabis in this ischemic stroke case. The patient eventually progressed to brain death. The underlying mechanism, clinical manifestation, and imaging findings of cannabis-related stroke will be reviewed.
참고문헌 (10)
- Singh NN, "Cannabis-related stroke: case series and review of literature", J Stroke Cerebrovasc Dis, 21, pp.555~560 (2012)[DOI]
- Chung H, "Recent trends of drug abuse and drug-associated deaths in Korea", Ann N Y Acad Sci, 1025, pp.458~464 (2004)[DOI]
- Ashton CH, "Adverse effects of cannabis and cannabinoids", Br J Anaesth, 83, pp.637~649 (1999)[DOI]
- Vachhani P, "Recurrent extracranial internal carotid artery vasospasm associated with recreational marijuana use", Clin Imaging, 43, pp.6~8 (2017)[DOI]
- Barber PA, "Cannabis, ischemic stroke, and transient ischemic attack: a case- control study", Stroke, 44, pp.2327~2329 (2013)[DOI]
- Wolff V, "Cannabis use, ischemic stroke, and multifocal intracranial vasoconstriction: a prospective study in 48 consecutive young patients", Stroke, 42, pp.1778~1780 (2011)[DOI]
- Mateo I, "Recurrent stroke associated with cannabis use", J Neurol Neurosurg Psychiatry, 76, pp.435~437 (2005)[DOI]
- Finsterer J, "Occipital stroke shortly after cannabis consumption", Clin Neurol Neurosurg, 106, pp.305~308 (2004)[DOI]
- Johnson S, "Some cardiovascular effects of marihuana smoking in normal volunteers", Clin Pharmacol Ther, 12, pp.762~768 (1971)[DOI]
- Uhegwu N, "Marijuana induced reversible cerebral vasoconstriction syndrome", J Vasc Interv Neurol, 8, pp.36~38 (2015)