Table of Contents
ISRN Neurology
Volume 2013 (2013), Article ID 124390, 5 pages
http://dx.doi.org/10.1155/2013/124390
Research Article

Characteristics and Outcomes of Cocaine-Related Spontaneous Intracerebral Hemorrhages

1Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida College of Medicine-Jacksonville and Shands Hospital, 655 West 8th Street, Jacksonville, FL 32209, USA
2Department of Neurology, University of Florida College of Medicine-Jacksonville, Jacksonville, FL 32209, USA

Received 19 January 2013; Accepted 6 February 2013

Academic Editors: A. Arboix, G. Boysen, and S. Weis

Copyright © 2013 Abubakr A. Bajwa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To date there is only one single-center study that has exclusively reported characteristics, location, and outcomes of spontaneous intracerebral hemorrhages (ICH) among cocaine users. We aimed to describe the radiological location and characteristics along with clinical outcomes of spontaneous ICH in a similar population. We conducted a retrospective chart review of consecutive patients admitted to a tertiary care hospital, with a spontaneous ICH, who had a urine drug screen performed within 48 hours of admission. Exposure to cocaine was defined by a positive urine drug screen within 48 hours of hospital admission. Demographics, radiographic features of ICH, and short-term clinical outcomes of patients with a positive urine drug screen were analyzed and compared with the cocaine negative group. Among the 102 patients analyzed, 20 (19.6%) had documented exposure to cocaine. There was a predominance of males in both groups with significantly more Blacks in the cocaine positive group ( ). A statistically significant number of patients with cocaine use had ICH in a subcortical location ( ) when compared to cocaine negative patients. There was no difference in GCS, ICH volume, intraventricular extension, ICU days, hospital days, hospital cost, mortality, and ICH score. ICH in cocaine use is more frequently seen in the subcortical location.