Spontaneous Intracerebral Hemorrhage in 28-Year- Old Patient Following the Use of Sildenafil: A Case Report
Introduction: Sildenafil is a potent vasodilating agent treating male erectile dysfunction.
Case report: A 28-year-old, medically-free male presented collapsed to the emergency department with vomiting and mild headache. He took many Sildenafil tablets over a few weeks. His head computed tomogram showed a few peripheral intracerebral hemorrhage and small subarachnoid hemorrhage with mild brain edema. Normal angiography was detected. The patient was managed conservatively and discharged after 10 days.
Conclusion: Sildenafil seems to act by redistributing arterial blood flow with concurrent sympathetic hyperactivity, which lead to such hemorrhagic presentation. It is a highly potent drug, and it needs a urology consultation before use.
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