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Psychostimulant Use and Fatal Stroke in Young Adults.
Abstract Psychostimulant use is associated with increased stroke risk. To determine the proportion of psychostimulant users among fatal strokes in young adults (15-44 years), all cases were retrieved from the National Coronial Information System (1/1/2009-31/12/2016). A total of 279 cases were identified: hemorrhagic (259), ischemic (8), thrombotic (8), and mycotic (4). Fifty (17.9%) were identified as psychostimulant users. Psychostimulants in blood were detected in 37/45 where toxicology was available, predominantly methamphetamine (32/45). Hemorrhagic strokes in the psychostimulant group were more likely to be...
Source: Journal of Forensic Sciences - April 1, 2019 Category: Forensic Medicine Authors: Darke S, Duflou J, Kaye S, Farrell M, Lappin J Tags: J Forensic Sci Source Type: research

Clinical Characteristics of Fatal Methamphetamine-related Stroke: A National Study.
Abstract The study aimed to determine the clinical characteristics of fatal methamphetamine-related stroke in Australia, 2009-2015. There were 38 cases, 60.5% male, with a mean age of 40.3 years. In no case was there evidence that this was the first time methamphetamine had been used by the decedent, and 52.6% had known histories of injecting drug use. The stroke was hemorrhagic in 37 of 38 cases. In 21.1% of cases, the stroke was purely parenchymal and, in 18.4%, involved purely the subarachnoid space. A ruptured berry aneurysm was present in 31.6% and in 68.8% of initial subarachnoid hemorrhages. There was evide...
Source: Journal of Forensic Sciences - August 17, 2017 Category: Forensic Medicine Authors: Darke S, Lappin J, Kaye S, Duflou J Tags: J Forensic Sci Source Type: research