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Stroke, Vol 21, 957-962, Copyright © 1990 by American Heart Association

ARTICLES

Multiple intracerebral hemorrhages after smoking "crack" cocaine

RM Green, KM Kelly, T Gabrielsen, SR Levine and C Vanderzant
Department of Neurology, University of Michigan Medical Center, Ann Arbor.

After smoking "crack" cocaine and consuming large quantities of ethanol, a 36-year-old man developed multiple, bilateral, deep, and superficial cerebral hematomas. He was hypertensive for several days, but angiography revealed no evidence of vascular malformation or vasculitis. The multifocality of the hematomas and lack of underlying disease suggest that the hemorrhages resulted from cocaine-induced acute hypertension or arterial spasm, possibly potentiated by heavy ethanol consumption.

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