Intracranial Vascular Complications of "Molly" Usage: Case Report and Review of the Literature.

Q4 Medicine
Connecticut Medicine Pub Date : 2016-09-01
Serena Wong, Mansour Afshani
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引用次数: 0

Abstract

"Molly" is a form of 3,4-methylene-dioxy-methamphetamine (MDMA, or "ecstasy"), a synthetic sympathomimetic drug, that acts as a stim- ulant and a hallucinogen. It is considered by users to be free of adulterants like methamphetamine, and therefore safer to use. It is either ingested as an oral capsule, snorted in powder form, or smoked as an additive to marijuana. Intracranial hemorrhages have been reported in patients who have taken MDMA, who have usually been found to have preexisting aneurysms, arteriovenous malformations, or vasculitis. There have been a few case reports of spontaneous intracranial hemorrhage in patients who have taken molly in endemic areas such as South Florida. We report one case of spontaneous subarachnoid hemorrhage and small acute cerebellar infarction in an otherwise healthy patient after ingestion of molly. As its usage increases, it is important to consider subarachnoid hemorrhages and cerebrovascular accidents as complications of molly abuse.

“莫利”使用后颅内血管并发症:病例报告及文献复习。
“莫利”是一种3,4-亚甲基二氧基甲基苯丙胺(MDMA,或“摇头丸”),一种合成的拟交感神经药物,具有兴奋剂和致幻剂的作用。使用者认为它不含甲基苯丙胺等掺杂物,因此使用起来更安全。它既可以作为口服胶囊摄入,也可以以粉末形式吸食,或者作为大麻的添加剂吸食。服用MDMA的患者有颅内出血的报道,这些患者通常被发现有预先存在的动脉瘤、动静脉畸形或血管炎。有一些病例报告,在流行地区,如南佛罗里达,服用莫利的患者自发性颅内出血。我们报告一例自发性蛛网膜下腔出血和小急性小脑梗死在其他健康的病人后摄入茉莉。随着其使用的增加,重要的是要考虑蛛网膜下腔出血和脑血管意外的并发症莫莉滥用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Connecticut Medicine
Connecticut Medicine Medicine-Medicine (all)
自引率
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期刊介绍: The Connecticut State Medical Society (CSMS) is a federation of eight component county medical associations, with a total membership exceeding 7,000 physicians. CSMS itself is a constituent state entity of the American Medical Association. Founded by the physician-patriots of the American Revolution, the Society operates from a heritage of democratic principles embodied in its Charter and Bylaws. The base of all authority in CSMS is, of course, the individual physician member. It is the decisions of members in their own county associations that ultimately determine the nature of the Society"s policies and activities.
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