Methamphetamine-induced intracerebal haemorrhage

Case contributed by Dr Craig Hacking

Presentation

Acute onset left weakness of face, arm and leg.

Patient Data

Age: 25-30 years
Gender: Male

Large intraparenchymal haemorrhage centred in the right lentiform nucleus and external capsule. Mild mass effect with effacement of the right lateral ventricle. 3mm of midline shift. No herniation.

No vascular malformation or aneurysm identified. No vascular beading or irregularity to suggest vasculitis. The right lentiform nucleus haemorrhage contains 3 small focal arterial blushes (CTA spot sign).

No change in hameorrhage size or mass effect.

DSA (angiography)

No aneurysm, vascular malformation, dissection or evidence of dysplasia.

Case Discussion

This patient is a known ice (methamphetamine) user and was taking the drug when he experience an acute onset headache and weakness. He is not known to be hypertensive and BP during admission was within normal limits.

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Case information

rID: 54967
Case created: 11th Aug 2017
Last edited: 11th Aug 2017
Inclusion in quiz mode: Included

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