Superior Sagittal Venous Sinus Thrombosis in a Patient with Illicit Testosterone Use

Superior Sagittal Venous Sinus Thrombosis in a Patient with Illicit Testosterone Use / Ariba Hashmi, Paul Kim, Syed W. Ahmad, Jason Faucheux, Naz Gandikal. - (Cureus 11 (2019) 8 (26 August)).
- PMID: 31489277
- PMCID: PMC6713241
- DOI: 10.7759/cureus.5491


Cerebral venous sinus thrombosis is a challenging diagnosis due in part to its variable clinical presentation and rarity. The annual incidence ranges from 0.22 to 1.57 per 100,000. The etiology of such disease is related to hypercoagulability states. Although illicit androgen use is a well-known cause of prothrombotic states, its risk of causing cerebral venous sinus thrombosis has been infrequently reported. We present the case of a 33-year-old male with no known past medical history who presented to the emergency department (ED) with persistent seizure activity, neurological deficits, and history of worsening headaches who was found to have an extensive superior sagittal sinus thrombosis on imaging. Radiologic findings demonstrated pathognomonic findings of cord sign and delta sign, the previous being highly specific but of low incidence. An inconclusive hypercoagulability workup prompted further questioning which revealed illicit androgenic anabolic steroid use. Prompt treatment with anticoagulation and anti-seizure medication was pursued with full resolution of his neurologic symptomatology.

Original document


Case report
26 August 2019
Ahmad, Syed W.
Faucheux, Jason
Gandikal, Naz
Hashmi, Ariba
Kim, Paul
United States of America
Other organisations
AdventHealth Orlando
Nova Southeastern University (NSU)
Doping classes
S1. Anabolic Agents
Medical terms
Health effects
Document category
Scientific article
Document type
Pdf file
Date generated
17 October 2019
Date of last modification
22 October 2019
  • Legal Source
  • Education
  • Science
  • Statistics
  • History
Country & language
  • Country
  • Language
Other filters
  • ADRV
  • Legal Terms
  • Sport/IFs
  • Other organisations
  • Laboratories
  • Analytical aspects
  • Doping classes
  • Substances
  • Medical terms
  • Various
  • Version
  • Document category
  • Document type
Publication period