Hyperdense Basilar Artery Sign in a Young Cocaine User:
A Rare Presentation of Stroke
Abstract
Cocaine use is a well-documented factor in both ischemic and hemorrhagic stroke; however, basilar artery thrombosis due to cocaine use is rare, with few cases reported in the literature. As a widely used illicit drug, cocaine can trigger acute basilar artery thrombosis, leading to severe neurological outcomes. The mechanisms involved include cerebral vasospasm, platelet aggregation, thrombosis, cerebral vasculitis, and thromboembolism resulting from cardiomyopathy or drug-induced arrhythmias.
We report the case of a 30-year-old man with recurrent seizures following cocaine use.
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References
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Copyright (c) 2025 Bruno Fernandes Barros Brehme de Abreu, Natã Nascimento de Jesus Graça, Mayara Oliveira da Silva, Felipe Nunes Figueiras, Márcio Luís Duarte

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