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 DEFINITION
The accident vascular brain is an absence of blood irrigation of the cerebral textile with secondary neurological symptoms caused in this case for the cocaine consumption.
CAUSES
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The cocaine is a stimulant fortress that increases the activity of the central nervous system and the peripheral nervous system, of illegal use (in dust, injected or in the shape of pasta of coca or crack, smoked).
In addition to his effect of dependency and psychiatric symptoms that it can produce, the cocaine can produce for his effect vasoconstrictor pictures of arterial hypertension, cardiac arrhythmias, transitory cerebral accidents, permanent cerebrovascular accidents myocardium infarctions.
This effect vasoconstrictor of the cocaine that produces arterial hypertension, cardiac arrhythmias is the one that can produce the secondary cerebrovascular accident to his use, after the arteries of the brain remain blocked and not to receive blood contribution.
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SYMPTOMS
There are symptoms that suggest a habitual cocaine consumption as it can be the presence of nosebleed, headaches, weariness, insomnia, pictures of anxiety, cyclical depression, chronic hoarseness and irritability.
If the picture happens the accident vascular brain will appear:
- Drowsiness and pins and needles of face or extremities.
- Weakness, sensation of heaviness in the extremities
- Uncoordination of voluntary movements (to swim, to take things with the hands, etc...)
- Alterations in the speech (I stutter, bad pronunciation)
- Alterations in the sight
- Picture of sickness or dizziness
- Palsy of the muscles of the face and extremities
- Loss of knowledge
METHODS OF DIAGNOSIS
In the case history there owes to investigate the cocaine consumption before the presence of an accident vascular brain of person younger than 40 years<./p> The toxicological examination of the urine or the blood can turn out to be a positive, what confirms the cocaine consumption.
Later the normal study of an accident vascular brain in the sharp moment must appear to need an immediate treatment of the picture with:
Analytical of finished blood (Hematimetria and VSG), I study of coagulation (time of protombrina)
A study will be realized with Cerebral Scanner (TAC) or Nuclear Magnetic Resonance.
An ultrasound scan doppler of the artery carotid
Ecocardiograma
Sometimes it is possible to go so far as to realize a cerebral arteriografía.
TREATMENT
It is necessary to treat brain as a normal form to other vascular accidents with anticoagulant and antihypertensive, but it is needed also to treat the withdrawal symptoms of cocaine, like the depression, uncontrollable desire of consumption and lethargy, for it they are used sedative and medicines agonistas of dopamina. If the person is in comma he will be necessary an artificial respirator, including the pipes laying in the airways and the artificial ventilation.
The cardiac arrhythmias talk each other with drugs antiarrítmicas or other medicines.
TO SEE ALSO
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DEFINITION YOU 
