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Ischemic Stroke Related to Anabolic Abuse

Santamarina, Rodrigo Daniel MD; Besocke, Ana Gabriela MD; Romano, Lucas Martin MD; Ioli, Pablo Leonardo MD; Gonorazky, Sergio Eduardo MD

doi: 10.1097/WNF.0b013e3180ed4485
Case Report

Anabolic-androgenic steroid (AAS) abuse increased in recent years, and it is associated with numerous adverse effects. Few reports on ischemic stroke related to anabolic steroid abuse have been published. We report a case of a 26-year-old male amateur athlete who suffered a posterior territory ischemic stroke. No abnormalities were found in angiography and echocardiography studies, neither in hemostatic profile. His only significant risk factor was nonmedical use of stanozolol, an anabolic steroid. Anabolic steroids are capable of increasing vascular tone, arterial tension, and platelet aggregation; therefore, they are prone to produce atherothrombotic phenomena. Because of young people's widespread use of anabolic steroids, physicians should be aware of this kind of complication.

Neurology Department, Hospital Privado de Comunidad, Mar del Plata, Argentina.

Address correspondence and reprint requests to Rodrigo Daniel Santamarina, MD, Neurology Department, Hospital Privado de Comunidad, Mar del Plata, B7602CBM, Córdoba 4545, Argentina; E-mail:

© 2008 Lippincott Williams & Wilkins, Inc.