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This study investigates the clinical profile and outcomes of cocaine-associated ischemic stroke in patients at a stroke center.

Abstract Number: Esoc2026a1098 Cocaine-Associated Ischemic Stroke in a Comprehensive Stroke Center in Spain: Clinical Characteristics and Outcomes

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This study investigates the clinical profile and outcomes of cocaine-associated ischemic stroke in patients at a stroke center.
Conducted a case-control study of patients undergoing urine cocaine testing at stroke onset.
Analyzed 198 patients with ischemic stroke from January 2023 to October 2025.
Classified patients into cocaine-positive and cocaine-negative based on toxicological screening.
14.64% of patients tested positive for cocaine.
Cocaine-positive patients required acute stenting more frequently (33.3% vs 20.9%, P=0.023) and had increased arterial dissection rates (P=0.022).
Functional outcomes at 3 months and discharge NIHSS scores were comparable between groups.

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Case-control study examines outcomes of cocaine-associated ischemic stroke in patients, suggesting implications for prevention strategies.

Pardo et al. (2026) studied this question.

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Case-control study examines outcomes of cocaine-associated ischemic stroke in patients, suggesting implications for prevention strategies.