Biopsy-proven cerebral vasculitis associated with cocaine abuse.

Abstract:

:We report cerebral vasculitis in 2 cocaine users who developed symptoms (transient blindness and persistent headache) while smoking "crack," followed by progressive widespread cerebral dysfunction with focal signs over the next few weeks. One patient had smoked crack exclusively, and the other also used cocaine intravenously. Sedimentation rates were elevated and HIV titers negative. Arteriography was normal in 1 patient and in the other showed multiple large-vessel occlusions without beading. Brain biopsy showed vasculitis involving small vessels in both patients. Multinucleated cells were present in the neuropil, but there were no granulomas or evidence of infection. One patient improved significantly with corticosteroid treatment, and made a good recovery. The other died despite corticosteroid and cyclophosphamide treatment.

journal_name

Neurology

journal_title

Neurology

authors

Krendel DA,Ditter SM,Frankel MR,Ross WK

doi

10.1212/wnl.40.7.1092

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

1092-4

issue

7

eissn

0028-3878

issn

1526-632X

journal_volume

40

pub_type

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