• Neuroimaging Clin. N. Am. · Feb 2024

    Review

    Imaging of Drug-Related Vasculopathy.

    • Paulo Puac-Polanco, Àlex Rovira, Lubdha M Shah, Richard H Wiggins, Rivas RodriguezFranciscoFRadiology, Division of Neuroradiology, University of Michigan, 1500 East Medical Center Drive, B2A205 Ann Arbor, MI 48109-5302, USA., and Carlos Torres.
    • Department of Radiology, Radiation Oncology and Medical Physics, Box 232, General Campus Room 1466e, 501 Smyth Road, Ottawa, Ontario K1H 8L6, Canada.
    • Neuroimaging Clin. N. Am. 2024 Feb 1; 34 (1): 113128113-128.

    AbstractIllicit and recreational drugs, such as cocaine, heroin, amphetamines, and marijuana, can result in drug-related vasculitis or vasculopathy. Similarly, the use of certain antithyroid, oncologic, and immunosuppressive medications for therapeutic purposes can lead to vasculopathy. This in turn may result in significant complications in the central nervous system, including intracranial hemorrhage and stroke. Cocaine abuse can also lead to midline destructive lesions of the sinonasal complex. MR imaging, Vessel Wall imaging, and CT/CTA are valuable imaging tools for the evaluation of patients with suspected drug-induced vasculopathy or vasculitis. This article reviews the pathomechanism, clinical presentation, and imaging findings of vasculopathy related to drug abuse and prescribed medications.Copyright © 2023 Elsevier Inc. All rights reserved.

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