title: Cortical venous thrombosis following exogenous androgen use for bodybuilding.
abstract: There are only a few reports of patients developing cerebral venous sinus thrombosis (CVST) after androgen therapy. We present a young man who developed cortical venous thrombosis after using androgens to increase muscle mass. He was hospitalised for parasthesia and dyspraxia in the left hand followed by a generalised tonic-clonic seizure. At admission, he was drowsy, not fully orientated, had sensory inattention, pronation drift and a positive extensor response, all on the left side. The patient had been using anabolic steroids (dainabol 20 mg/day) for the last month for bodybuilding. CT angiography showed a right cortical venous thrombosis. Anticoagulation therapy was started with intravenous heparin for 11 days and oral anticoagulation (warfarin) thereafter. A control CT angiography 4 months later showed resolution of the thrombosis. He recovered fully.
authors: Karolinska University Hospital, Stockholm, Sweden. olafur.sveinsson@karolinska.se
authors: Olafur
authors: O
authors: Sveinsson
authors: Lars
authors: L
authors: Herrman
mesh_terms: D045930:Anabolic Agents / Q000009:adverse effects*; D002533:Cerebral Angiography; D002543:Cerebral Hemorrhage / Q000139:chemically induced; D002550:Cerebral Veins; D006801:Humans; D020767:Intracranial Thrombosis / Q000139:chemically induced*; D008297:Male; D008696:Methandrostenolone / Q000009:adverse effects*; D012851:Sinus Thrombosis, Intracranial / Q000139:chemically induced; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000139:chemically induced*; D055815:Young Adult
chemical_list: D045930:Anabolic Agents; D008696:Methandrostenolone
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