title: Cerebral infarction in a young man using high-dose anabolic steroids.
abstract: Anabolic androgenic steroid (AAS) abuse has increased among athletes in recent years. However, AAS abuse can increase hypercoagulopathy and cause cerebrovascular disease. We report a case of a 27-year-old man who had right hemiparalysis, hemianopia, dysarthria, and double vision in the middle of muscle training. He suspected acute disseminated encephalomyelitis at first, because of a preceding respiratory infection. However, extensive work-up was performed, including brain magnetic resonance imaging, transcranial Doppler and transesophageal echocardiography, confirming the final diagnosis of cardioembolic stroke. Physicians should be aware that cerebrovascular disease may be a side effect of AAS, even in younger populations.
authors: Department of Neurology, Juntendo University School of Medicine, Tokyo, Japan.
authors: Yoshiaki
authors: Y
authors: Shimada
authors: Asako
authors: A
authors: Yoritaka
authors: Yasutaka
authors: Y
authors: Tanaka
authors: Nobukazu
authors: N
authors: Miyamoto
authors: Yuji
authors: Y
authors: Ueno
authors: Nobutaka
authors: N
authors: Hattori
authors: Urabe
authors: U
authors: Takao
mesh_terms: D000328:Adult; D045930:Anabolic Agents / Q000009:adverse effects*; D000728:Androgens / Q000009:adverse effects*; D002544:Cerebral Infarction / Q000139:chemically induced* / Q000175:diagnosis; D017548:Echocardiography, Transesophageal; D054092:Foramen Ovale, Patent / Q000150:complications / Q000175:diagnosis; D006322:Heart Aneurysm / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011237:Predictive Value of Tests; D012307:Risk Factors; D017585:Ultrasonography, Doppler, Transcranial; D020246:Venous Thrombosis / Q000139:chemically induced
chemical_list: D045930:Anabolic Agents; D000728:Androgens