Spontaneous subdural haematoma in anabolic steroids dependent weight lifters: reports of two cases and review of literature

Spontaneous subdural haematoma is very rare in young patients. The complications of anabolic steroid intake in weight lifters are numerous, yet subdural haematomas have not been reported. We report on two cases of spontaneous subdural haematomas in young weight lifters. Both patients underwent surgi...

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Published inActa neurochirurgica Vol. 147; no. 1; pp. 85 - 88
Main Authors Alaraj, A M, Chamoun, R B, Dahdaleh, N S, Haddad, G F, Comair, Y G
Format Journal Article
LanguageEnglish
Published Austria Springer Nature B.V 01.01.2005
Subjects
Adult
Anabolic Agents - administration & dosage
Anabolic Agents - adverse effects
Drugs & sports
Hematoma, Subdural, Intracranial - diagnostic imaging
Hematoma, Subdural, Intracranial - etiology
Hematoma, Subdural, Intracranial - surgery
Humans
Male
Radiography
Steroids
Substance-Related Disorders - complications
Valsalva Maneuver
Weight Lifting
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Summary:Spontaneous subdural haematoma is very rare in young patients. The complications of anabolic steroid intake in weight lifters are numerous, yet subdural haematomas have not been reported. We report on two cases of spontaneous subdural haematomas in young weight lifters. Both patients underwent surgical evacuation and made a full recovery. A review of the literature on the complications associated with valsalva manoeuvres is also presented including hemodynamic and intracranial changes. We propose that patients on chronic anabolic steroids may have vascular changes that predispose them to bleeding during a Valsalva manoeuvre (VM).
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-004-0415-0