Alaraj A M, Chamoun R B, Dahdaleh N S, Haddad G F, Comair Y G
Division of Neurosurgery, American University of Beirut, Beirut, Lebanon.
Acta Neurochir (Wien). 2005 Jan;147(1):85-7; discussion 87-8. doi: 10.1007/s00701-004-0415-0.
Spontaneous subdural haematoma is very rare in young patients. The complications of anabolic steroid intake in weight lifters are numerous, yet subdural haematomas have not been reported. We report on two cases of spontaneous subdural haematomas in young weight lifters. Both patients underwent surgical evacuation and made a full recovery. A review of the literature on the complications associated with valsalva manoeuvres is also presented including hemodynamic and intracranial changes. We propose that patients on chronic anabolic steroids may have vascular changes that predispose them to bleeding during a Valsalva manoeuvre (VM).
自发性硬膜下血肿在年轻患者中非常罕见。举重运动员服用合成代谢类固醇的并发症众多，但硬膜下血肿尚未见报道。我们报告两例年轻举重运动员自发性硬膜下血肿的病例。两名患者均接受了手术清除血肿，且完全康复。本文还综述了与瓦尔萨尔瓦动作相关并发症的文献，包括血流动力学和颅内变化。我们认为，长期服用合成代谢类固醇的患者可能存在血管变化，使其在瓦尔萨尔瓦动作（VM）期间易发生出血。
