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Sildenafil Use and Cigarette Smoking Associated with Intracerebral Hemorrhage: A Rare Case Report.
Hassan, Mohamed Abdulahi; Mohamed, Ibrahim Abdullahi; Omar, Abdullahi Abdirahman; Adan, Zakaria Mohamed; Garba, Bashiru; Badawi, Omar Hassan.
Afiliación
  • Hassan MA; Department of Internal Medicine and Intensive Care Unit, Dr. Sumait Hospitals Affiliated of SIMAD University, Mogadishu, Somalia.
  • Mohamed IA; Department of Medicine and Surgery of Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
  • Omar AA; Department of Internal Medicine and Intensive Care Unit, Dr. Sumait Hospitals Affiliated of SIMAD University, Mogadishu, Somalia.
  • Adan ZM; Department of Internal Medicine and Intensive Care Unit, Dr. Sumait Hospitals Affiliated of SIMAD University, Mogadishu, Somalia.
  • Garba B; Department of Internal Medicine and Intensive Care Unit, Dr. Sumait Hospitals Affiliated of SIMAD University, Mogadishu, Somalia.
  • Badawi OH; Department of Public Health, Faculty of Medicine and Health Sciences, SIMAD University, Mogadishu, Somalia.
Vasc Health Risk Manag ; 20: 21-26, 2024.
Article en En | MEDLINE | ID: mdl-38222901
ABSTRACT

Background:

Intracerebral hemorrhage (ICH) is a serious condition characterized by bleeding within the brain tissue. Although the use of sildenafil, a vasodilator agent for erectile dysfunction, has been associated with rare cases of ICH, the combination of sildenafil usage and smoking as risk factors for ICH has not yet been reported. This case report describes the occurrence of ICH in a patient with a history of both sildenafil usage and heavy smoking. Case Presentation A 53-year-old male, with a history of smoking and regular sildenafil use, was brought to the emergency department due to loss of consciousness with right-side weakness, he initially experienced with nausea, vomiting and dizziness after taking sildenafil 100mg tablet once. The Glasgow Coma Score (GCS) was 10 with side hemiparesis. Non-contrast CT revealed left thalamic acute hemorrhage with ventricular extension. Furthermore, a head CT angiography ruled out any vascular anomalies after that the patient was admitted to the intensive care unit (ICU) for conservative management. After three days on clinical and neurological improvement, the patient was transferred to the inpatient ward for further management, monitoring and physiotherapy. On day 6, the patient was discharged and planned for flow up.

Conclusion:

This rare case highlights the need for further research and awareness regarding the potential risks associated with the combination of sildenafil and heavy smoking. Healthcare professionals should carefully evaluate the individual risk factors of patients, educate them about potential complications, and consider alternative treatments if necessary. Additionally, patients should be encouraged to quit smoking and adopt a healthy lifestyle to minimize the risk of cerebrovascular events.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fumar Cigarrillos / Disfunción Eréctil Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Vasc Health Risk Manag Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Somalia Pais de publicación: Nueva Zelanda
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fumar Cigarrillos / Disfunción Eréctil Tipo de estudio: Etiology_studies / Risk_factors_studies Límite: Humans / Male / Middle aged Idioma: En Revista: Vasc Health Risk Manag Asunto de la revista: ANGIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Somalia Pais de publicación: Nueva Zelanda