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From the Department of Diagnostic and Interventional Neuroradiology (Drs. Vallée, Guillevin, Lo, Barragan-Campos, and Chiras) and Stroke Center and Department of Neurology (Drs. Crozier, Obadia, and Samson), Pitié-Salpétrière Hospital, Medical Université of Paris, France.
Address correspondence and reprint requests to Dr. Jean-Noël Vallee, Department of Diagnostic and Interventional Neuroradiology, Pitié-Salpétrière Hospital, Medical Université of Paris 6, 47-83 Boulevard de lHôpital, 75651 Paris Cedex 13, France; e-mail: valleejn{at}free.fr and jean-noel.vallee@psl.ap-hop-paris.fr
Thromboaspiration was performed in a young adult in a coma because of acute basilar artery occlusion associated with cocaine and ecstasy abuse 30 hours after symptom onset. There was complete recanalization of the basilar artery and favorable recovery. Because cocaine and ecstasy abuse has been reported to be a risk factor for ischemic stroke and fatal brain hemorrhage, thromboaspiration may be an alternative therapy to thrombolysis.
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