吸食安非他命或其他成癮性毒品可能導致腦溢血，年輕人自發性腦溢血必須將此
項因素列入鑑別診斷中。在此，我們報告一位18 歲男性，因為突發性意識模糊而送到
本院急診室，到院時昏迷指數為7 分。緊急頭部斷層掃描顯示右腦枕葉及頂葉大量腦溢
血，併發嚴重腦腫脹。傳統腦部血管攝影並未發現動靜脈畸型、動脈瘤或其他血管異
常。病患兩側上肢有新舊雜陳針孔痕跡，尿液檢測發現安非他命的代謝物，因此診斷
為安非他命引起自發性腦溢血。經過緊急開顱手術取出血塊後，他被送到加護病房進
一步觀察治療。但是，他並沒有甦醒過來，反而併發肺水腫、肺炎以及呼吸窘迫症，
最後在入院後第七天死亡。

Amphetamine and/or other drug abuse should always be considered as a cause of spontaneous intracranial hemorrhage in young adults. We report an 18-year-old man who was sent to the emergency department because of sudden change in consciousness. Emergent head computed tomography (CT) disclosed a large lobar hematoma in the right cerebral hemisphere with brain edema and hydrocephalus. Conventional cerebral angiography demonstrated no underlying vascular anomalies. A urine screening test was positive for amphetamines. He underwent hematoma evacuation, but ultimately died because of further complications of lung edema and respiratory failure.