Annals of Indian Academy of Neurology
: 2012  |  Volume : 15  |  Issue : 2  |  Page : 139--140

Khat and stroke

Sanjay V Kulkarni1, Yasir Ahamed A Mughani2, Enass Hassan A Onbol2, Punith Kempegowda1 
1 Department of Medicine, M S Ramaiah Medical Teaching Hospital, MSRIT Post, New BEL Road, Bangalore, Karnataka, India
2 Department of Medicine, 48 Modern Hospital, Sana'a, Yemen

Correspondence Address:
Punith Kempegowda
No. 28/18, 19th Main Road, MC Layout, Vijaynagar, Bangalore - 560 040, Karnataka

Khat chewing, though a tradition followed majorly in African countries, has of late spread widely across the globe due to faster transport systems and advanced preservation techniques. Many complications such as psychosis, arterial hypertension, angina pectoris, and myocardial infarction have been reported in connection to khat abuse. We present a case of a young man who presented with acute onset left-sided weakness. He was a known khat addict for over three decades. A diagnosis of left hemiplegia due to right middle cerebral artery infarction was established. Detailed evaluation revealed no significant underlying cause for stroke. Since the main central nervous system effects of khat are comparable with those of amphetamines and there are established reports of stroke in amphetamine abuse, the former was assumed to be the etiological factor. The patient was discontinued from taking khat and was managed conservatively. The subject showed significant recovery with no further complications or similar episodes during follow-up. To the best of our knowledge, this is the second case of stroke associated with khat. Since the management is essentially conservative, a vigilant history eliciting of khat abuse in prevalent countries would cut down unnecessary healthcare costs.

How to cite this article:
Kulkarni SV, Mughani YA, Onbol EA, Kempegowda P. Khat and stroke.Ann Indian Acad Neurol 2012;15:139-140

How to cite this URL:
Kulkarni SV, Mughani YA, Onbol EA, Kempegowda P. Khat and stroke. Ann Indian Acad Neurol [serial online] 2012 [cited 2022 Dec 2 ];15:139-140
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