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Vol. 32, No. 2, 2000
Issue release date: February 2000
Pediatr Neurosurg 2000;32:92–94

Stroke Associated with Marijuana Abuse

White D. · Martin D. · Geller T. · Pittman T.
Divisions of aNeurological Surgery, bRadiology and cNeurology, Cardinal Glennon Children’s Hospital, St. Louis, Mo., USA

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We present the case of a 15-year-old with a cerebellar infarct that involved multiple arterial territories. It was temporally related to, and probably caused by, heavy marijuana use. While the mechanism of marijuana-associated stroke is unclear, the drug is known to cause hypotension and to impair peripheral vasomotor reflexes. We suspect that the child had diminished cerebral autoregulatory capacity and developed the stroke during a period of hypotension.

Copyright © 2000 S. Karger AG, Basel

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  1. Cooles P, Michaud R: Stroke after heavy cannabis smoking (letter). Postgrad Med 1987;63:511.
  2. Lawson TM, Rees A: Stroke and transient ischaemic attacks in association with substance abuse in a young man. Postgrad Med J 1996;72:692–693.

    External Resources

  3. McCarron MO, Thomas AM: Cannabis and alcohol in stroke. Postgrad Med J 1997;73:448.
  4. Mohan H, Sood GC: Conjugate deviation of the eyes after Cannabis indica intoxication. Br J Ophthalmol 1964;481:160.
  5. Zachariah SB: Stroke after heavy marijuana smoking. Stroke 1991;22:406–409.
  6. Beaconsfield P, Ginsburg J, Rainsbury R: Marihuana smoking cardiovascular effects in man and possible mechanisms. N Engl J Med 1972;287:209–212.

    External Resources

  7. Wilson RJ, Humphreys D, Lowe JV, Wiethe KE: Middle cerebral artery velocity during upright posture after marijuana smoking. Acta Psychiatr Scand 1992;86:173–178.
  8. Mathews RJ, Wilson WH, Tant SR: Acute changes in cerebral blood flow associated with marijuana smoking. Acta Psychiatr Scand 1989;79:118–128.

    External Resources

  9. Mathew RJ, Psych MRC, Tant S, Burger C: Regional cerebral blood flow in marijuana smokers. Br J Addict 1986;81:567–571.

    External Resources

  10. Mathew RJ, Wilson WH: Substance abuse and cerebral blood flow. Am J Psychiatry 1991;148:292–305.

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