Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
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Ischemic Stroke after Use of Cannabis: a Case Report and Review of Literature

  • Jung, Jo Sung (Department of Radiology, Soonchunhyang University College of Medicine) ;
  • Park, Yae Won (Department of Radiology, Ewha Womans University College of Medicine) ;
  • Lee, Seung Ah (Department of Neurology, Ewha Womans University College of Medicine) ;
  • Song, Tae Jin (Department of Neurology, Ewha Womans University College of Medicine) ;
  • Lim, Soo Mee (Department of Radiology, Ewha Womans University College of Medicine)
  • Received : 2018.07.10
  • Accepted : 2018.08.31
  • Published : 2018.09.30
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Abstract

Cannabis or marijuana is the most commonly used recreational drug after alcohol in the world, and usage is generally recognized as having few serious adverse effects. However, usage is restricted in South Korea. The report of ischemic stroke associated with cannabis is rare in literature. We present a case of a 47-year-old female patient with no underlying disease presenting with acute ischemic stroke after smoking cannabis in South Korea. The result for synthetic cannabinoid metabolites (delta-9 tetrahydrocannabinol) screening was positive. Absence of other vascular risk factors and drug screening results suggest a causal role of cannabis in this ischemic stroke case. The patient eventually progressed to brain death. The underlying mechanism, clinical manifestation, and imaging findings of cannabis-related stroke will be reviewed.

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References

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Cited by

  1. Harmful Effects of Smoking Cannabis: A Cerebrovascular and Neurological Perspective vol.10, pp.None, 2018, https://doi.org/10.3389/fphar.2019.01481