Abstract
A 32-year-old woman was brought to the emergency room with hemiplegia on the left and consciousness disturbance. Her prior medical history and the circumstances of the onset were unknown. Brain computed tomography showed intracerebral hemorrhage (ICH) with a midline shift of more than 10 mm in the right parietal lobe. Cerebral angiography failed to show any vascular anomalies. Urine analysis with the triage system, a qualitative screening test for psychotropic drug abuse, showed positive reaction for amphetamines. Subsequent laboratory examination confirmed a highly elevated serum concentration of methamphetamine. The patient underwent evacuation of the hemorrhage via a craniotomy, and was discharged 40 days after admission. Abuse of illegal drugs including amphetamines among young adults is increasing in many developed countries, and the suspicion of possible drug abuse should always be raised in young patients with angiographically negative ICH. A urinalysis screening test for psychotropic agents should be a part of routine emergency room diagnostic procedures for such patients.
| Original language | English |
|---|---|
| Pages (from-to) | 82-84 |
| Number of pages | 3 |
| Journal | Neurologia medico-chirurgica |
| Volume | 43 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 01-02-2003 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
- Clinical Neurology
Cite this
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Subcortical hemorrhage caused by methamphetamine abuse : Efficacy of the triage system in the differential diagnosis. / Inamasu, Joji; Nakamura, Yoshiki; Saito, Ryoichi; Kuroshima, Yoshiaki; Mayanagi, Keita; Ohba, Shigeo; Ichikizaki, Kiyoshi.
In: Neurologia medico-chirurgica, Vol. 43, No. 2, 01.02.2003, p. 82-84.Research output: Contribution to journal › Article
TY - JOUR
T1 - Subcortical hemorrhage caused by methamphetamine abuse
T2 - Efficacy of the triage system in the differential diagnosis
AU - Inamasu, Joji
AU - Nakamura, Yoshiki
AU - Saito, Ryoichi
AU - Kuroshima, Yoshiaki
AU - Mayanagi, Keita
AU - Ohba, Shigeo
AU - Ichikizaki, Kiyoshi
PY - 2003/2/1
Y1 - 2003/2/1
N2 - A 32-year-old woman was brought to the emergency room with hemiplegia on the left and consciousness disturbance. Her prior medical history and the circumstances of the onset were unknown. Brain computed tomography showed intracerebral hemorrhage (ICH) with a midline shift of more than 10 mm in the right parietal lobe. Cerebral angiography failed to show any vascular anomalies. Urine analysis with the triage system, a qualitative screening test for psychotropic drug abuse, showed positive reaction for amphetamines. Subsequent laboratory examination confirmed a highly elevated serum concentration of methamphetamine. The patient underwent evacuation of the hemorrhage via a craniotomy, and was discharged 40 days after admission. Abuse of illegal drugs including amphetamines among young adults is increasing in many developed countries, and the suspicion of possible drug abuse should always be raised in young patients with angiographically negative ICH. A urinalysis screening test for psychotropic agents should be a part of routine emergency room diagnostic procedures for such patients.
AB - A 32-year-old woman was brought to the emergency room with hemiplegia on the left and consciousness disturbance. Her prior medical history and the circumstances of the onset were unknown. Brain computed tomography showed intracerebral hemorrhage (ICH) with a midline shift of more than 10 mm in the right parietal lobe. Cerebral angiography failed to show any vascular anomalies. Urine analysis with the triage system, a qualitative screening test for psychotropic drug abuse, showed positive reaction for amphetamines. Subsequent laboratory examination confirmed a highly elevated serum concentration of methamphetamine. The patient underwent evacuation of the hemorrhage via a craniotomy, and was discharged 40 days after admission. Abuse of illegal drugs including amphetamines among young adults is increasing in many developed countries, and the suspicion of possible drug abuse should always be raised in young patients with angiographically negative ICH. A urinalysis screening test for psychotropic agents should be a part of routine emergency room diagnostic procedures for such patients.
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UR - http://www.scopus.com/inward/citedby.url?scp=0037297574&partnerID=8YFLogxK
U2 - 10.2176/nmc.43.82
DO - 10.2176/nmc.43.82
M3 - Article
C2 - 12627885
AN - SCOPUS:0037297574
VL - 43
SP - 82
EP - 84
JO - Neurologia Medico-Chirurgica
JF - Neurologia Medico-Chirurgica
SN - 0387-2572
IS - 2
ER -