Journal
AMERICAN JOURNAL OF FORENSIC MEDICINE AND PATHOLOGY
Volume 25, Issue 4, Pages 334-337Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.paf.0000137206.16785.2f
Keywords
methamphetamine; autopsy; cerebral vascular accident; hemorrhagic stroke; ischemic stroke
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A healthy 31-year-old male abstinent from drug abuse during his recent incarceration developed slurred speech, a severe headache, and left-sided hemiparesis prior to his eventual death 9.5 hours after inhalation of methamphetamine. On postmortem examination, inspection of the brain revealed bilateral subarachnoid hemorrhage, with a prominent intralobar hemorrhage centered within the right frontal cerebral hemisphere. No evidence of vasculitis, infarction, intraventricular hemorrhage, or ruptured aneurysm could be observed. While this is not the first report of a methamphetamine-related stroke, this report describes the autopsy findings of an intracerebral hemorrhage secondary to methamphetamine abuse on autopsy and compares the findings and antemortem history to previously reported methamphetamine cerebral vascular deaths.
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