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A common cause??
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Brucensb posted:
Has anyone done a study to determine if certain drugs, legal or otherwise may have been a cause? Because of the age group it would appear that there has to be a common cause. It could be use of a single drug or a combination. I think this would be of prime importance.

Bruce Rivers
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Richard C Senelick, MD responded:
There have been many studies in this area. The "Guidelines for the Primary Prevention of Stroke," were just published in the medical journal, Stroke ( Volume 42 pages 517-584). It nicely summarizes the data on the increased risk of stroke in people who abuse cocaine, amphetamines, heroin and alcohol. Abuse of these drugs significantly increases the risk of a brain bleed. We have seen a substantial increase in stroke amongst younger people who are drug abusers.

Alcohol consumption in moderation is felt to have a beneficial effect in stroke prevention, but excessive alcohol consumption increases the risk of bleeding in your brain. You may be surprised to know that "moderate" consumption is one drink per day.

Medications that significantly increase an "at risk" person's blood pressure can increase the risk of stroke. These need to considered on a case by case basis.


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Richard C. Senelick M.D. is a physician specializing in both neurology and the subspecialty of neurorehabilitation. He did his undergraduate and medic...More

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