Subarachnoid hemorrhage associated with ecstasy abuse in a young adult: a case report
DOI:
https://doi.org/10.26738/poem.v2i1.26Keywords:
MDMA, ecstasy, arteriovenous malformation, intracerebral hemorrhage, case reportAbstract
3,4-Methylenedioxymethamphetamine (MDMA), is a synthetic amphetamine derivative. Its usage can be complicated by intracerebral or subarachnoid hemorrhage. Drug-related intracranial hemorrhage (ICH) is a relatively uncommon occurrence, often associated with an underlying vascular anomaly,
We report the case of a 28-year-old male with a history of Ecstasy abuse prior to the onset of a sever holocranial headache. Cerebral computed tomography angiography revealed a right sided sub-arachnoid hemorrhage and blood within all four ventricles, as well as a right sided pontine hematoma and an arteriovenous malformation.
As the drug epidemic continues to worsen, it is important to take a full drug history in patients presenting with a severe headache, and to not overlook ICH as a potential complication of recreational drug abuse.
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