• J Med Case Rep · Jan 2011

    Stroke with neuropsychiatric sequelae after cannabis use in a man: a case report.

    • Benoit Trojak, Stéphanie Leclerq, Vincent Meille, Catia Khoumri, Jean-Christophe Chauvet-Gelinier, Maurice Giroud, Bernard Bonin, and André Gisselmann.
    • Department of Psychiatry and Addictology, University Hospital of Dijon, 3 rue du Faubourg Raines, B,P, 1519, F-21033 Dijon Cedex, France. benoit.trojak@chu-dijon.fr.
    • J Med Case Rep. 2011 Jan 1;5:264.

    IntroductionThe outcome of cerebral ischemic stroke associated with cannabis use is usually favorable. Here we report the first case of cannabis-related stroke followed by neuropsychiatric sequelae.Case PresentationA 24-year-old Caucasian man was discovered in a deeply comatose non-reactive state after cannabis use. A magnetic resonance imaging scan of his brain showed bilateral multiple ischemic infarcts. The patient remained deeply comatose for four days, after which time he developed other behavioral impairments and recurrent seizures.ConclusionStroke related to cannabis use can be followed by severe neuropsychiatric sequelae. Concomitant alcohol intoxication is essential neither to the occurrence of this neurologic event nor to its severity.

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