Reversible hemiplegia as a consequence of severe hyperkalemia and cocaine abuse in a hemodialysis patient

American Journal of the Medical Sciences

Volumn 314, Issue 6, 1997, Pages 408-410

  Effiong, Charles ^b   Ahuja, Tejinder S ^b   Wagner, John D ^b   Singhal, Pravin C ^b   Mattana, Joseph ^a  

^a LONG ISLAND JEWISH MEDICAL CENTER   (United States)

^b NONE

Author keywords

Cocaine; Hemiplegia; Hyperkalemia; Rhabdomyolysis

Indexed keywords

COCAINE;

ADULT; ARTICLE; CLINICAL FEATURE; COMORBIDITY; DRUG DEPENDENCE; HEMIPLEGIA; HEMODIALYSIS; HUMAN; HUMAN EXPERIMENT; HYPERKALEMIA; HYPERTENSION; MALE; MUSCLE WEAKNESS; PARESTHESIA; POTASSIUM BLOOD LEVEL; RHABDOMYOLYSIS; SUBSTANCE ABUSE;

EID: 0031454732     PISSN: 00029629     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000441-199712000-00010     Document Type: Article

References (13)

1. Warner EA. Cocaine abuse. Ann Int Med. 1993;119:226-35.
2. Pogue VA, Nurse HM. Cocaine-associated acute myoglobinuric renal failure. Am J Med. 1989;86:183-6.
3. Singhal PC, Rubin RB, Peters A, Santiago A, Neugarten J. Rhabdomyolysis and acute renal failure associated with cocaine abuse. Clin Toxicol. 1990;28:321-330.
4. Epstein FH. Signs and symptoms of electrolyte disorders. In: Maxwell MH, Kleeman CR; eds. Clinical Disorders of Fluid and Electrolyte Metabolism, 3rd ed. New York: McGraw-Hill; 1980:145.
5. Lee KS, Powell BL, Adams PL. Focal neurologic signs associated with hyperkalemia. South Med J. 1984;77:792-3.
6. Konzen JP, Levine SR, Garcia JH. Vasospasm and thrombus formation as possible mechanisms of stroke related to alkaloidal cocaine. Stroke. 1995;26:1114-8.
7. Daras M, Tuchman AJ, Marks S. Central nervous system infarction related to cocaine abuse. Stroke. 1991;22:1320-5.
8. Golbe LI, Merkin MD. Cerebral infarction in a user of free-base cocaine ("crack"). Neurology. 1986;36:1602-4.
9. Seaman ME. Acute cocaine abuse associated with cerebral infarction. Ann Emerg Med. 1990;19:34-7.
10. Nunez BD, Miao L, Wang Y, Nunez MM, Klein MA, Sellke FW, et al. Cocaine-induced microvascular spasm in Yucatan miniature swine: in vivo and in vitro evidence of spasm. Circ Res. 1994;74:281-90.
11. Kaji D, Khan T. Na+-K+ pump in chronic renal failure. Am J Physiol. 1987;252:F785-93.
12. Surawicz B. The interrelationship of electrolyte abnormalities and arrhythmias. In: Mandel WJ; ed. Cardiac Arrhythmias, 3rd ed. Philadelphia: J.B. Lippincott Co.; 1995:92.
13. Nolte KB. Rhabdomyolysis associated with cocaine abuse. Hum Pathol. 1991;22:1141-5.