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'Ecstasy'-induced subarachnoid haemorrhage: an under-reported neurological complication?
Gabriel Yin Foo Lee1, Grace Wooi Kee Gong, Nikitas Vrodos
1Department of Neurosurgery, Royal Adelaide Hospital, Adelaide, Australia. gabriellee@ozemail.com.au
Abstract:
In the face of escalating recreational use of 'Ecstasy' (3,4-methylenedioxymethamphetamine, MDMA), physicians need to be aware of its possible adverse effects. We report two young patients who suffered subarachnoid haemorrhage following ingestion of 'Ecstasy' tablets. Angiographic studies demonstrated features consistent with vasculitis in both cases. Recognition of this association is important and highlights the significance of eliciting a careful drug history, particularly in cases of 'angiogram negative' subarachnoid haemorrhage.