Document Detail


Subarachnoid Hemorrhage and Intracerebral Hematoma due to Sildenafil Ingestion in a Young Adult.
MedLine Citation:
PMID:  20379474     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Sildenafil citrate (Viagra(R); Pfeizer US Pharmaceutical Group, New York, NY, USA) is a potent vasodilating agent to treat male erectile dysfunction. Among its adverse effects, hemorrhagic stroke has not been widely reported yet. We present a case of a 33-year-old healthy man who ingested 50 mg sildenafil a half hour before onset of headache, nervousness and speech disturbance. Head computed tomogram of this stuporous man showed huge intracerebral hemorrhage and thick subarachnoid hemorrhage, but angiography failed to disclose any vascular anomalies. Subsequent surgical procedure was followed, and rehabilitation was provided thereafter. Sildenafil seems to act by redistributing arterial blood flow, and concurrent sympathetic hyperactivity, which lead to such hemorrhagic presentation. Extreme caution should be paid on even in a young adult male patient wven without known risk factors.
Authors:
Hyoung-Soo Byoun; Young-Joon Lee; Hyeong-Joong Yi
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Publication Detail:
Type:  Journal Article     Date:  2010-03-31
Journal Detail:
Title:  Journal of Korean Neurosurgical Society     Volume:  47     ISSN:  1598-7876     ISO Abbreviation:  J Korean Neurosurg Soc     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101467054     Medline TA:  J Korean Neurosurg Soc     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  210-2     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea.
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