마리화나 흡연으로 인해 발생한 젊은 연령 뇌경색 1례

• Published in: 대한임상독성학회지 Vol. 18; no. 1; pp. 47 - 50
• Main Authors: 하수영, Sue Young Ha, 강동완, Dong-wan Kang, 이승훈, Seung-hoon Lee
• Format: Journal Article
• Language: Korean
• Published: 대한임상독성학회 30.06.2020
• Subjects: Cryptogenic stroke; Marijuana; Multifocal arterial stenosis; 응급의학; Cryptogenic stroke; Marijuana; Multifocal arterial stenosis
• ISSN: 1738-1320; 2508-6332
• DOI: 10.22537/jksct.2020.18.1.47

A 21-year-old female patient complaining of hemiparesis was diagnosed with right middle cerebral artery infarction. No risk factor was found, despite an extensive young-age stroke work-up, except her history of marijuana use. The patient had smoked marijuana for treating depression for more than five years. Magnetic resonance angiography showed multifocal intra- and extracranial stenoses, suggesting cannabinoid-induced vasculopathy. Since the use of illicit drugs has increased nationwide, physicians should consider it as a possible cause of a stroke due to an unknown etiology.