A case of cerebral venous thrombosis and stroke while taking finasteride

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  • フィナステリド服用中に脳静脈血栓症と脳梗塞を発症した1例

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<p>  The patient was a 42-year-old man with no previous medical history. After taking a combination of finasteride and minoxidil for about 6 months to treat alopecia, he developed dull pain in the left side of his head. In addition, he started having more incoherent conversations, so he was admitted to the hospital for further inspection. At the time of admission, in addition to left temporal pain, he had sensory aphasia and gait disturbance. Blood tests showed high D-dimer levels. Head CT venography an examination did not visualize from the left transverse sinus to the sigmoid sinus. We diagnosed cerebral venous thrombosis (CVT) . Various tests did not detect any abnormal findings that could lead to cerebrovascular disease, so we diagnosed that the patient had drug-induced CVT due to the combined oral administration of finasteride and minoxidil.<BR>  In order to diagnose juvenile cerebrovascular disease, it is necessary to inquire in detail about the patient's medication history, including non-approved drugs.</p>

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