Abstract

Due to legalization of its consumption in some countries and its medical use as well as low toxic potential, cannabis remains the most widely used drug around the world and the rate of usage is only increasing. Nevertheless, there are several case reports of vascular complications following cannabis use even in young people without cardiovascular risk factors. We report the case of a cannabis smoker presenting to the emergency room for an ischemic stroke associated with an acute coronary syndrome related to a spontaneous simultaneous double dissection of the carotid artery and the left anterior descending artery, with a favourable outcome under medical treatment. This case shows the seriousness of complications due to the cannabis consumption, hence the need to limit or even prohibit its consumption.

Highlights

  • Cannabis, known as marijuana, is the most widely used illicit drug in the world

  • Diverse cases of cannabis-related acute coronary syndrome (ACS), ischemic strokes or vascular attacks associated with cannabis use have been reported2

  • Case report A 32-year-old Caucasian student male was admitted to our intensive care unit (ICU) for right total hemiplegia and aphasia evolving for 4 hours associated with chest discomfort

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Summary

14 May 2021

2. Amr Ashry , Alder Hey Children Hospital, Liverpool, UK Assiut University, Assiut, Egypt. Any reports and responses or comments on the article can be found at the end of the article. An arrow was added to the images as requested by the reviewer (Figure 1–Figure 3). Any further responses from the reviewers can be found at the end of the article

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10. Shah PK
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