A young male of hemorrhagic cerebral infarction associated with finasteride and minoxidil

Abstract

We report a young male of hemorrhagic cerebral infarction associated with finasteride and minoxidil. He had undertaken 0.4 mg of finasteride and 4 mg of minoxidil daily for 8 months. During his exercising, he suddenly presented with a headache, followed by visual disorder. On admission, his brain MRI showed hemorrhagic cerebral infarction in the right occipital lobe. However, our examinations that revealed the cause of his cerebral infarction showed no abnormalities. Thereafter, we suspected adverse effects of finasteride and minoxidil and discontinued these medications. He never had recurrent stroke since then. We emphasize the importance of a detailed interview including unusual medications to investigate the cause of cerebral infarction.