Infarctus cérébral et myocardique après consommation de cannabis chez une femme jeune |
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Authors: | C. Duchene N. Chausson P. Cohen-Tenoudji |
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Affiliation: | a Service de neurologie, CHU Pierre-Zobda-Quitman, La Meynard, 97200 Fort-de-France, Martinique, France b Service de cardiologie, CHU de Fort-de-France, 97200 Fort-de-France, Martinique, France |
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Abstract: | IntroductionCannabis is the most consumed drug in the world particularly in young adults. Few reports have suggested a causal role of cannabis in the development of cerebral or cardiovascular events. We describe the first association of myocardial infarction and stroke after heavy cannabis consumption in a 45-year-old woman.ObservationStroke occurred in relation with a right carotid and middle cerebral artery thrombosis after cannabis abuse. The patient was successfully treated with intravenous rt-PA. Two days after her admission, she presented a myocardial infarction due to a coronary thrombosis. Cerebral and coronary arteries were angiographically normal. Etiological tests were negative and a toxic cause in relation with cannabis consumption was concluded.ConclusionCannabis can be associated with vascular events by different mechanisms. Thrombosis may occur in cerebral and/or coronary arteries. We suggest that it might be useful to search for cannabis consumption systematically in young subjects victims of stroke and myocardial infarction. |
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Keywords: | Cannabis Drogue Infarctus cé ré bral Infarctus du myocarde Thrombose arté rielle |
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