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BACKGROUND: A 40-year-old man presented to an emergency department with slurred speech, diplopia and agitation several hours after cocaine use. His level of consciousness rapidly dropped in the hours following presentation. INVESTIGATIONS: Physical examination, CT scan of the head, cerebral angiography. DIAGNOSIS: Cocaine-induced basilar artery thrombosis. MANAGEMENT: Intra-arterial thombolysis, mechanical clot aspiration, intravenous abciximab, neurointensive care support, rehabilitation at a specialist stroke unit.

Original publication

DOI

10.1038/ncpneuro0879

Type

Journal article

Journal

Nat Clin Pract Neurol

Publication Date

11/2008

Volume

4

Pages

622 - 626

Keywords

Adult, Basilar Artery, Brain Infarction, Cerebellar Diseases, Cerebral Angiography, Cocaine, Fibrinolytic Agents, Humans, Male, Stroke, Thrombolytic Therapy, Thrombosis, Tomography, X-Ray Computed, Vasoconstrictor Agents