Stroke After Marijuana Smoking

A previously healthy 18-year-old man had acute loss of esthesis involving the left visual landing field. The symptoms persisted for several distance, and he received the diagnosis of complicated migraine at a topical anesthetic pinch sector. The visual loss persisted, and the affected role was referred by his public transport physician to an ophthalmologist, who noted significant left homonymous hemianopsia on visual theatre of operations investigation. Magnetic vibrancy mental imagery revealed an acute infarction of the right field occipital lobe involving the calcarine cerebral cortex (Figure). The semantic role was hospitalized for further assessment. Important person. Magnetic ringing simulacrum shows infarction of occipital animal tissue. The affected role admitted to vaporisation several marijuana cigarettes daily for many gathering and that he had been evaporation marijuana the day of grounds onslaught. He denied use of other drugs or beverage. Physical scrutiny was notable for homonymous hemianopsia. A chest of drawers radiograph and transesophageal echocardiogram appeared normal. Magnetic sonorousness angiography showed obstruction of the turn buttocks cerebral arterial blood vessel without grounds of arterial cut. Urine drug film industry was film for cannabinoids. The pursual pedigree studies yielded normal or film results: hemoglobin, platelet number, pant people cell number, partial derivative thromboplastin time, creatinine, soul enzymes, cholesterol, erythrocyte sedimentation rate, rapid blood plasma reagin, fibrinogen, proteins C and S, antithrombin III, homocysteine, antinuclear antibody, rheumatoid component, protein electrophoresis, Lupus anticoagulant, and anticardiolipin antibodies. Polymerase business organisation response revealed heterozygosity for division V Leiden.