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Case Reports
. 2008 Nov;4(11):622-6.
doi: 10.1038/ncpneuro0879. Epub 2008 Aug 5.

A case of cocaine-induced basilar artery thrombosis

Clare MacEwen  1 , Mike Ward, Alastair Buchan
Affiliations
Case Reports

A case of cocaine-induced basilar artery thrombosis

Clare MacEwen et al. Nat Clin Pract Neurol. 2008 Nov.

Abstract

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.

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