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Stroke Medicine pp 129–132Cite as

A Hypertensive Spike

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Abstract

The incidence of drug related stroke continues to increase as use becomes more widespread. Cocaine use is a recognised cause of stroke through vasoactive effects illustrated by this case. One possible mechanism is the effects of a sharp blood pressure increase (hypertensive spike). Ischaemic stroke can occur through a variety of other mechanisms. It should be kept in mind that even if drug use is confirmed other causes of young stroke may contribute in a synergistic manner to result in either infarct or haemorrhage.

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Author information

Authors and Affiliations

  1. Department of Stroke, East and North Hertfordshire NHS Trust, Stevenage, UK

    Asaipillai Asokanathan MRCP(UK), DGM(London)

  2. Education Unit, National Hospital for Neurology and Neurosurgery, UCL Institute of Neurology, London, UK

    Sumanjit K. Gill BSc Hons, MBBS, MRCP

Authors
  1. Asaipillai Asokanathan MRCP(UK), DGM(London)
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  2. Sumanjit K. Gill BSc Hons, MBBS, MRCP
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Corresponding author

Correspondence to Sumanjit K. Gill BSc Hons, MBBS, MRCP .

Editor information

Editors and Affiliations

  1. UCL Institute of Neurology Education Unit, National Hospital for Neurology and Neurosurgery, London, United Kingdom

    S.K. Gill

  2. Brain Repair & Rehabilitation, UCL Institute of Neurology, University College London, London, United Kingdom

    M.M. Brown

  3. Lysholm Dept of Neuroradiology, National Hospital for Neurology and Neurosurgery, London, United Kingdom

    F. Robertson

  4. Department of Stroke, National Hospital for Neurology and Neurosurgery, London, United Kingdom

    N. Losseff

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© 2015 Springer-Verlag London

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Asokanathan, A., Gill, S.K. (2015). A Hypertensive Spike. In: Gill, S., Brown, M., Robertson, F., Losseff, N. (eds) Stroke Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-6705-1_20

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  • DOI: https://doi.org/10.1007/978-1-4471-6705-1_20

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-6704-4

  • Online ISBN: 978-1-4471-6705-1

  • eBook Packages: MedicineMedicine (R0)

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