Citation

Johnston JC. J. Forensic Leg. Med. 2009; 16(8): 489-491.

Copyright

(Copyright © 2009, Elsevier Publishing)

DOI

10.1016/j.jflm.2009.07.006

PMID

19782324

Abstract

A 45 year old female with no stroke risk factors suffered a massive intracerebral hemorrhage (ICH) after ingesting Midrin--a combination of isometheptene mucate, dichlorophenazine and acetaminophen. Neuroimaging revealed no evidence of structural disease or underlying vasculopathy. This is the first reported case of isometheptene induced ICH in the absence of underlying cerebrovascular disease. Physicians must be aware of the potential for this complication, and inquire about the use of isometheptene in unexplained cerebral hemorrhages. Neurological communities in countries with nonprescription isometheptene should discourage unsupervised or excessive use of the drug.

Language: en

Keywords

Acetaminophen; Analgesics; Antipyrine; Cerebral Hemorrhage; Chloral Hydrate; Drug Combinations; Female; Humans; Methylamines; Middle Aged; Suicide