Cerebral vasculopathies due to drug abuse in adult patients: A case report

Authors

  • Antonio José Moya Moya Endocrinología y Nutrición. Complejo Hospitalario Universitario de Albacete. Albacete. España
  • Fátima María Madrona Marcos Medicina Familiar y Comunitaria. Centro de Salud Zona V-a Albacete. España
  • Alejandro Esteban Sirvent Segovia Endocrinología y Nutrición. Complejo Hospitalario Universitario de Albacete. Albacete. España
  • Ricardo Rodenas Lozano Radiodiagnóstico. Complejo Hospitalario Universitario de Albacete. Albacete. España
  • Maria José Villar Inarejos Departamento de Servicio de Urgencias Hospitalario. Complejo Hospitalario Universitario de Albacete. Albacete. España

DOI:

https://doi.org/10.19230/jonnpr.3276

Keywords:

Acquired vasculopathy, Case report, Cocaine, Drug abuse, Ictus, Moyamoya syndrome

Abstract

Introduction. Moyamoya disease is a cerebrovascular disease characterized by progressive stenosis of the arteries of the circle of Willis, conditioning the appearance of an anomalous compensatory vascular network, the moyamoya vessels. These areas are more susceptible to suffering ischemia or haemorrhage.

Case report. A 47-year-old man with symptoms of weakness in the left upper limb and clumsy walk because of left leg, of 5 days' evolution, in relation to cocaine consumption. In arteriography, extensive collateral network compatible with the moyamoya pattern.

Discussion. The chronic consumption of cocaine produces abrupt increase in blood pressure, cerebral vasoconstriction, vasculitis and acute thrombosis, with the consequent development of moyamoya vessels as a compensatory physiological mechanism.

 

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References

Espert R, Gadea M, Aliño M, Oltra-Cucarella J, Perpiña C. Enfermedad de moyamoya: aspectos clínicos, neurorradiológicos, neuropsicolológicos y genéticos. Rev Neurol 2018; 66(1):57-64.

Jiménez Yespes CM, Patiño Hoyos MA, Jiménez Obando M. Síndrome de Moyamoya: una respuesta defensiva al daño crónico de un gran vaso cerebral. Reporte de una serie de casos y revisión de la literatura. Acta Neurol Colomb 2018; 34(1):45-53.

Storen EC, Wijdicks EFM, Crum BA, Schultz G. Moyamoya-like vasculopathy from cocaine dependency. Am J Neuroradiol 2000; 21(6):1008-1010.

Schwartz MS, Scott RM. Moyamoya syndrome associated with cocaine abuse. Case report. Neurosurg focus 1998; 5(5):e7.

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Published

2019-11-30

Issue

Vol. 5 No. 2: (February 2020) JONNPR.2020; 5(2):137-235

Section

Clinical Case

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