Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

BACKGROUND: A 40-year-old man presented to an emergency department with slurred speech, diplopia and agitation several hours after cocaine use. His level of consciousness rapidly dropped in the hours following presentation. INVESTIGATIONS: Physical examination, CT scan of the head, cerebral angiography. DIAGNOSIS: Cocaine-induced basilar artery thrombosis. MANAGEMENT: Intra-arterial thombolysis, mechanical clot aspiration, intravenous abciximab, neurointensive care support, rehabilitation at a specialist stroke unit.

Original publication




Journal article


Nat Clin Pract Neurol

Publication Date





622 - 626


Adult, Basilar Artery, Brain Infarction, Cerebellar Diseases, Cerebral Angiography, Cocaine, Fibrinolytic Agents, Humans, Male, Stroke, Thrombolytic Therapy, Thrombosis, Tomography, X-Ray Computed, Vasoconstrictor Agents