A novel complication of the illicit use of cocaine, a spontaneous acut
e subdural hematoma, is described. This case represents another additi
on to the growing literature on the negative effects of cocaine on the
central nervous system. Photographic documentation of the lesion resp
onsible for the hematoma is presented, along with a discussion of the
possible pathophysiologic mechanism. (C) 1997 by Elsevier Science Inc.