A 20-year-old previously healthy male developed an acute left-sided headache lasting several minutes, followed by sudden generalized weakness and collapse. Symptoms resolved spontaneously within minutes and he resumed normal daily activities without seeking medical attention. The following morning, he awoke having persistent right-sided hemiparesis with predominant weakness of the right hand and dysarthria. Expecting spontaneous resolution as on the previous day, he delayed seeking medical care for approximately eight hours… Neurological examination revealed right-sided hemiparesis, more pronounced in the upper extremity, with markedly reduced fine motor control of the right hand and dysarthria… The patient initially denied taking any medications, but on further inquiry…reported daily use of finasteride 1 mg.
Houmani R, Houmani J, Hamou A, Aad S, Nabbout G.Ischemic Stroke in a Young Adult Male During Finasteride Therapy, March 20, 2026. DOI: 10.7759/cureus.105537 [Cureus Journal of Medical Science]