The neurovascular complications of cocaine
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Cited by (89)
Imaging of Drug-Related Vasculopathy
2024, Neuroimaging Clinics of North AmericaThe effect of cocaine and methamphetamine on saccular aneurysm formation and rupture: A literature review
2021, Brain HemorrhagesCitation Excerpt :This vasculature insult contributes to the increased risk for brain ischemia, aortic dilatation, aortic dissection and hemorrhagic stroke.15,17 The use of cocaine prior to subarachnoid hemorrhage is also associated with an increased risk of seizures and vasospasms post subarachnoid hemorrhage.17 In addition to crossing the BBB, it can lead to the dissolution of the BBB, exacerbating its neurotoxic potential.17
Stroke and Substance Abuse
2021, Stroke: Pathophysiology, Diagnosis, and ManagementNeurotoxicology and drug-related disorders
2018, Handbook of Clinical NeurologyCitation Excerpt :Cocaine-associated intracerebral and subarachnoidal hemorrhages are associated with underlying arteriovenous malformations or cerebrovascular aneurysms in about 50% of the affected persons (McEvoy et al., 2000; Vannemreddy et al., 2008). The pathogenetic mechanism is a sudden elevation of blood pressure induced by the properties of cocaine (Levine et al., 1991; Oyesiku et al., 1993; Daras et al., 1994; Nolte et al., 1996; Fessler et al., 1997). Compared to control subjects, cocaine abuse has been shown to predispose to aneurysm rupture at an earlier age and in much smaller aneurysms (Oyesiku et al., 1993; McEvoy et al., 2000; Nanda et al., 2000; Vannemreddy et al., 2008).