چكيده لاتين :
Background: Hypertensive Intracerebral hemorrhage is a relatively common event, however, Intracerebral hemorrhage duo to "crack" abuse is a rare event.
Materials and Methods: A 20 years old man brought to emergency department (ED) because of nausea, vomiting, agitation and progressive loss of consciousness. His parents denied any head trauma but said " the patient is intravenous drug abuser (crack )".After initial stabilization in ED, diagnostic workup begins with Axial brain CT scan. There was a huge intracerebral hemorrhage in right frontoparietal lobe (right sylvian fissure). In operating room hematomas was evacuated. The patients clinical condition improved. Four-vessel brain angiography was performed during follow-up period. No vascular lesions was detected.
Conclusion: Although the presence of vascular malformations of CNS cannot be rule out by negative brain angiography, intracerebral hemorrhage in this patient may be due to " crack" abuse.
