A Fatal Intracerebral Hemorrhage due to Chronic Methamphetamine Use / 대한법의학회지
Korean Journal of Legal Medicine
; : 98-101, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-740679
Responsible library:
WPRO
ABSTRACT
The authors report a case of an otherwise healthy 33-year-old man who presented with intracerebral hemorrhage in the right frontal lobe following chronic methamphetamine use. An autopsy was performed within 2 days after death. The postmortem examination revealed cerebral edema and intracerebral and intraventricular hemorrhage. Microscopic examination revealed endovasculitis in the systemic vessels including the aorta and carotid and coronary arteries, but no aneurysm or arterio-venous malformation. Acute toxicity and chronic methamphetamine use was verified using blood and segmental hair analysis, respectively. Cerebrovascular accidents including stroke and intracerebral and subarachnoid hemorrhage are rare in young persons, but methamphetamine use is a risk factor for cerebrovascular accidents in young adults. Therefore, forensic pathologists should be aware of the acute and chronic harmful effects of methamphetamine. Detailed history taking and toxic screening tests for illicit drug use, especially methamphetamine, as well as a meticulous postmortem examination should be conducted in young patients who died due to cerebrovascular accident.
Full text:
Available
Health context:
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Target 3.4: Reduce premature mortality due to noncommunicable diseases
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Target 3.5: Prevention and treatment of consumption of psychoactive substances
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Cardiovascular Disease
/
Cerebrovascular Disease
Database:
WPRIM (Western Pacific)
Main subject:
Aorta
/
Autopsy
/
Subarachnoid Hemorrhage
/
Brain Edema
/
Cerebral Hemorrhage
/
Mass Screening
/
Risk Factors
/
Coronary Vessels
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Substance-Related Disorders
/
Stroke
Type of study:
Etiology study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Adult
/
Humans
Language:
English
Journal:
Korean Journal of Legal Medicine
Year:
2018
Document type:
Article