@article{ref1,
title="Neurovascular complications of cocaine abuse",
journal="Journal of neuropsychiatry and clinical neurosciences",
year="1991",
author="Peterson, P. L. and Roszler, M. and Jacobs, I. and Wilner, H. I.",
volume="3",
number="2",
pages="143-149",
abstract="A 3-year prospective study of 31,081 admissions to an inner-city, emergency trauma hospital revealed 33 patients less than or equal to 45 years of age who had a total of 35 acute neurovascular events (infarction or hemorrhage) related to cocaine abuse (3% of the total 979 cocaine-related admissions). Fifty-four percent of the events were ischemic, and 46% were hemorrhagic. Six patients died. The majority (63%) of ischemic events were hemispheric and subcortical in distribution. Eleven of 13 angiograms were abnormal (five aneurysms and two arteriovenous malformations were identified). No case of &quot;vasculitis&quot; was seen. Seventy percent of the patients exclusively abused crack cocaine, and 94% of the neurovascular events were related to its use. No first-time cocaine users were identified. During the last year of the study, 29% of the 558 cocaine-related admissions were psychiatric admissions, and most (58%) were for treatment of depressive illness (34 patients were admitted for attempted suicide).<p /><p>Language: en</p>",
language="en",
issn="0895-0172",
doi="10.1176/jnp.3.2.143",
url="http://dx.doi.org/10.1176/jnp.3.2.143"
}