PT - JOURNAL ARTICLE AU - Nina Long AU - Satnaam Bassi AU - Don Pepito AU - Hossein Akhondi TI - Gerstmann syndrome complicating polycythemia secondary to anabolic steroid use AID - 10.1136/bcr-2018-229004 DP - 2019 Jun 01 TA - BMJ Case Reports PG - e229004 VI - 12 IP - 6 4099 - http://casereports.bmj.com/content/12/6/e229004.short 4100 - http://casereports.bmj.com/content/12/6/e229004.full SO - BMJ Case Reports2019 Jun 01; 12 AB - Anabolic steroid use is prevalent among athletes and bodybuilders. There are known cardiovascular, reproductive, musculoskeletal and neuropsychiatric risks associated with their prolonged use. Although there have been very few documented cases of strokes associated with anabolic steroid use, cardiomyopathy and secondary erythropoiesis can increase the risk of strokes in users with no other risk factors. We present a 49-year-old man with left parietal ischaemic stroke with haemorrhagic conversion resulting in Gerstmann syndrome secondary to a hypercoagulable state from chronic anabolic steroid use.