Résumé
Hypertensive Intracerebral hemorrhage is a relatively common event, however, Intracerebral hemorrhage duo to "crack" abuse is a rare event. A 20 years old man brought to emergency department [ED] because of nausea, vomiting, agitation and progressive loss of consciousness. His parents denied any head trauma but said "the patient is intravenous drug abuser [crack]". After initial stabilization in ED, diagnostic workup begins with Axial brain CT scan. There was a huge intracerebral hemorrhage in right frontopareital lobe [right sylvian fissure]. In operating room hematomas was evacuated. The patients clinical condition improved. Four-vessel brain angiography was performed during follow-up period. No vascular lesions was detected. Although the presence of vascular malformations of CNS cannot be rule out by negative brain angiography, intracerebral hemorrhage in this patient may be due to "crack" abuse