J Korean Soc Clin Toxicol.  2020 Jun;18(1):47-50. 10.22537/jksct.2020.18.1.47.

A Case of Ischemic Stroke in Young Patient Associated with Marijuana Use

Affiliations
  • 1Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea

Abstract

A 21-year-old female patient complaining of hemiparesis was diagnosed with right middle cerebral artery infarction. No risk factor was found, despite an extensive young-age stroke work-up, except her history of marijuana use. The patient had smoked marijuana for treating depression for more than five years. Magnetic resonance angiography showed multifocal intra- and extracranial stenoses, suggesting cannabinoid-induced vasculopathy. Since the use of illicit drugs has increased nationwide, physicians should consider it as a possible cause of a stroke due to an unknown etiology.

Keyword

Marijuana; Cryptogenic stroke; Multifocal arterial stenosis
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