Pendyala Manogna, Rattaipalivalasu Saravanan Dhayananth, Kaur Purnoor, Doddapaneni Vijay K, Wong Brandon M
Department of Internal Medicine, St. Vincent Medical Center, Toledo, USA.
Cureus. 2025 Jun 11;17(6):e85789. doi: 10.7759/cureus.85789. eCollection 2025 Jun.
Cerebral venous sinus thrombosis (CVST) is a rare but potentially life-threatening cerebrovascular disorder often associated with hypercoagulable states. Testosterone use has been associated with erythrocytosis and increased venous thromboembolism risk. We report the case of a 49-year-old male with a history of chronic testosterone use who presented with a new-onset seizure and was subsequently diagnosed with CVST accompanied by a small parietal subarachnoid hemorrhage (SAH). This case highlights the thrombotic complications of testosterone-induced polycythemia and underscores the importance of surveillance, early recognition, and management.
脑静脉窦血栓形成（CVST）是一种罕见但可能危及生命的脑血管疾病，常与高凝状态相关。使用睾酮与红细胞增多症及静脉血栓栓塞风险增加有关。我们报告一例49岁男性病例，该患者有长期使用睾酮的病史，出现新发癫痫发作，随后被诊断为CVST，并伴有小的顶叶蛛网膜下腔出血（SAH）。该病例突出了睾酮诱导的红细胞增多症的血栓形成并发症，并强调了监测、早期识别和管理的重要性。
