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

• Ha SY
• Kang DW
• Lee SH

• KMID: 2503753
• DOI: http://doi.org/10.22537/jksct.2020.18.1.47

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