一名年轻女性吸食大麻后右上肢急性缺血和缺血性中风

Moussa Niandou Issoufou, S. E. Youbi, H. Naouli, H. Jiber, A. Bouarhroum
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摘要

大麻是世界上最常见和最容易获得的麻醉品之一。长期以来,研究人员已经证明,大麻对这些消费者的精神和神经精神影响的发生负有责任,但最近几十年,它已被编入躯体事件的发生,特别是心血管事件。我们将报告一例29岁的年轻患者,无病理史;因吸食大麻后缺血性中风和右上肢急性缺血,在朱哈桑二世血管外科住院治疗。这些临床事件的病因学研究使我们能够在排除所有可能导致临床事件的病因后,指导患者在记忆期间出现的大麻消费的责任。本病例强调了大麻可能参与卒中和肢体急性缺血的发生在一个年轻的受试者没有任何心血管危险因素。请注意,大麻在缺血性卒中发生中的作用是众所周知的,但其在急性肢体缺血发生中的作用尚未在任何文献中报道。
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Acute Ischemia of the Right Upper Limb and Ischemic Stroke in a Young Woman after the Consumption of Cannabis
Cannabis is one of the most present and easily accessible narcotics in the world. The responsibility of cannabis in these consumers in the occurrence of psychiatric and neuropsychiatric effects has been demonstrated by researchers for a long time, but in recent decades it has been indexed in the occurrence of somatic events, notably cardiovascular. We will report the case of a young patient aged 29, with no pathological history; hospitalized in the vascular surgery department of the CHU Hassan II for ischemic stroke and acute ischemia of the right upper limb after the consumption of cannabis. The etiological research of these clinical events orients us to direct the responsibility of cannabis whose consumption emerged during the anamnesis in our patient, after the elimination of all possible etiologies that may be responsible for the clinical events. This case highlights the possible involvement of cannabis in the occurrence of stroke and acute ischemia of the limb in a young subject without any cardiovascular risk factors. Note that the responsibility of cannabis in the occurrence of ischemic stroke is well known but its responsibility in the occurrence of acute limb ischemia has not been reported in any literature.
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