Samenvatting
We report a case of stroke due to cocaine abuse in a 30-year-old woman. The initial examinations pointing to this diagnosis were CT and MRI. Magnetic Resonance Imaging revealed bilateral globus pallidus infarction characterized by restricted Diffusion with low ADC values. There was also a partial hemorrhagic component confirmed on T2* sequence. After gadolinium injection there was a ring enhancement consistent with a blood brain barrier leakage. Similar lesions have been described in post hypoxic-anoxic injuries such as following cardiac arrest, severe blood loss and CO intoxication.
Originele taal-2 | English |
---|---|
Pagina's (van-tot) | 118-120 |
Aantal pagina's | 3 |
Tijdschrift | Journal Belge de Radiologie - Belgisch Tijdschrift voor Radiologie |
Volume | 97 |
Nummer van het tijdschrift | 2 |
Status | Published - 31 jul 2014 |
Keywords
- Adult
- Cardiopulmonary Resuscitation
- Cerebral Hemorrhage
- Cocaine-Related Disorders
- Contrast Media
- Diagnosis, Differential
- Diffusion Magnetic Resonance Imaging
- Female
- Gadolinium
- Globus Pallidus
- Heart Arrest
- Humans
- Image Enhancement
- Intubation, Intratracheal
- Magnetic Resonance Imaging
- Psychomotor Disorders
- Respiration, Artificial
- Stroke
- Tomography, X-Ray Computed