Hemorrhagic stroke after naphazoline exposition: case report.
Ten percent of all strokes are due to spontaneous cerebral hemorrhages. They are associated to drugs (licit and illicit) in 9.5% of all cases in young adults. This is a case report of a 44-year-old man, without previous morbidities, who presented a sudden onset headache and arterial hypertension 24 hours after use of naphazoline as nasal decongestant. Cranial tomography showed right thalamus hemorrhage. Cerebral angiography showed no aneurisms, vascular malformations or vasculitis. No other risk factors were found during investigation in this patient and the stroke was attributed to naphazoline exposition.
Serviço de Neurologia, Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba PR, Brazil.
Jorge A A
JA
Zavala
Eduardo R
ER
Pereira
Viviane H F
VH
Zétola
Hélio A G
HA
Teive
Edison M
EM
Nóvak
Lineu C
LC
Werneck
D000328:Adult; D002543:Cerebral Hemorrhage / Q000139:chemically induced* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D009278:Naphazoline / Q000009:adverse effects*; D014663:Nasal Decongestants / Q000009:adverse effects*; D020521:Stroke / Q000139:chemically induced* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed
D014663:Nasal Decongestants; D009278:Naphazoline