Hemiplegia and taking anabolic

We report the case of a young sportsman practicing bodybuilding as a recreation, 35 years old, without particular pathological history and having absorbed anabolic steroids for doping reasons: oxymetholone and methandrostenolone 1 tablet/D for 40 days before his stroke. Observation The clinical symptoms began to the awakening with the onset of functional impairment of the left side having recovered in 30minutes followed by a left total hemiplegia with facial central ipsilateral paralysis and swallowing disorders. CT at the same evening objectified a hypodensity in the territory of the right sylvian artery, which became hemorrhagic within 48h (control CT). There was no cardiac or vascular etiology (ECG monitoring, echocardiography, Doppler of supra-aortic trunks) nor thyroid disorder, inflammatory, immunologic or hemostasis disease. He was admitted in PMR at D30 after stroke: patient on a wheelchair without disorders of swallowing and with a left hemiparesis (patient right-handed), FIM at 67. At D60 the patient can walk with a tripod, is autonomous (dressing, toilet), FIM at 98. Socio-professional reintegration is ongoing (cook). Discussion Steroidal anabolic are known to be at the origin of cardiovascular complications by several mechanisms: high blood pressure by water retention; cardiac rhythm disorders: reduced duration of the QTc without changing the heart rate. A QTc<0.38 has a sensitivity of 83% and specificity of 88% to predict the use of anabolic agents. Th...
Source: Annals of Physical and Rehabilitation Medicine - Category: Rehabilitation Source Type: research