RESUMO
Anabolic steroid use is prevalent among athletes and bodybuilders. There are known cardiovascular, reproductive, musculoskeletal and neuropsychiatric risks associated with their prolonged use. Although there have been very few documented cases of strokes associated with anabolic steroid use, cardiomyopathy and secondary erythropoiesis can increase the risk of strokes in users with no other risk factors. We present a 49-year-old man with left parietal ischaemic stroke with haemorrhagic conversion resulting in Gerstmann syndrome secondary to a hypercoagulable state from chronic anabolic steroid use.
Assuntos
Anabolizantes/efeitos adversos , Síndrome de Gerstmann/diagnóstico , Esteroides/efeitos adversos , Isquemia Encefálica/induzido quimicamente , Isquemia Encefálica/diagnóstico por imagem , Hemorragia Cerebral/induzido quimicamente , Hemorragia Cerebral/diagnóstico por imagem , Hemorragia Cerebral/terapia , Síndrome de Gerstmann/induzido quimicamente , Humanos , Masculino , Pessoa de Meia-Idade , Flebotomia , Policitemia/induzido quimicamente , Policitemia/diagnóstico por imagem , Levantamento de PesoRESUMO
Acute confusion induced by acetazolamide is a well known adverse drug reaction in patients with renal impairment. We report a case of acetazolamide-induced Gerstmann syndrome in a patient with normal renal function, to highlight predisposing factors that are frequently overlooked.