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- Title
Bilateral cerebral hemispheric infarction associated with sildenafil citrate (Viagra<sup>®</sup>) use.
- Authors
Kim, K.-K.; Kim, D. G.; Ku, Y. H.; Lee, Y. J.; Kim, W.-C.; Kim, O. J.; Kim, H. S.
- Abstract
Sildenafil citrate (Viagra®) is one of the frequently prescribed drugs for men with erectile dysfunction. We describe a 52-year-old man with bilateral middle cerebral artery (MCA) territory infarction after sildenafil use. He ingested 100 mg of sildenafil and about 1 h later, he complained of chest discomfort, palpitation and dizziness followed by mental obtundation, global aphasia and left hemiparesis. Brain magnetic resonance imaging documented acute bilateral hemispheric infarction, and cerebral angiography showed occluded bilateral MCA. Despite significant bilateral MCA stenosis and cerebral infarction, systemic hypotension persisted for a day. We presume that cerebral infarction was caused by cardioembolism with sildenafil use.
- Subjects
SILDENAFIL; IMPOTENCE; APHASIA; BRAIN; INFARCTION; MAGNETIC resonance imaging
- Publication
European Journal of Neurology, 2008, Vol 15, Issue 3, p306
- ISSN
1351-5101
- Publication type
Article
- DOI
10.1111/j.1468-1331.2007.02025.x