We report a 3-year-old boy with complaints of intermittent vomiting for two weeks. Careful evaluation with urine drug screen, MRI, and CT revealed cocaine intoxication and left parietal intraparenchymal hemorrhage. The risks and benefits of anesthesia for a pediatric patient with cocaine intoxication were weighed and the patient underwent left parietal craniotomy with evacuation of intraparenchymal hemorrhage and biopsy of tissue.
Laleh Bahar-Posey, Oleg Drozhinin and Katie Reisman
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