Work

Chronic Khat Usage as a Cause of Chronic Hypertensive Encephalopathy and Vascular Dementia: A Case Report

Year: 2024

Type: article

Abstract: Khat is a native plant of Eastern Africa that is widely utilized for its stimulant-like effects. It is known to have effects similar to those of amphetamine and has a comparable side effect profile, including tachycardia, hypertension, and insomnia. In this case report, we present a 45-year-old Somali gentleman with a history of more than eight years of chronic Khat use, presenting with progressive cognitive decline. MRI findings were significant for white matter changes and microhemorrhages in the setting of chronic and poorly controlled hypertension, likely secondary to chronic Khat use. Understanding, identifying, and educating about the effects of long-term Khat use are important considerations in the treatment and management of hypertension and should be included in the differential diagnosis of vascular dementia and progressive cognitive decline in the Somali population in the United States.

Source: Cureus

DOI: 10.7759/cureus.76024

Authors: Jesus R Salas, Rami Ibrahim

Institution: The Ohio State University Wexner Medical Center

Language: English

Topic: Neurological Complications and Syndromes

Subfield: Psychiatry and Mental health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4405597681