Basilar artery thrombosis during sexual intercourse

•A basilar artery thrombosis during sexual intercourse is very rare.•A right-to-left shunt was obtained by High-Intensity-Transient-Signals detection.•Sexual intercourse may be considered as a possible trigger of cerebral ischemia. An ischemic stroke during sexual intercourse is very rare. A basilar...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2020-04, Vol.74, p.238-240
Main Authors: Posa, Andreas, Mueller, Tobias, Ungurs, Olga, Kornhuber, Malte, Zierz, Stephan
Format: Article
Language:English
Subjects:
Basilar artery thrombosis
High intensity transient signals (HITS)
Ischemic stroke
Persistent foramen ovale (PFO)
Sexual intercourse
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Summary:•A basilar artery thrombosis during sexual intercourse is very rare.•A right-to-left shunt was obtained by High-Intensity-Transient-Signals detection.•Sexual intercourse may be considered as a possible trigger of cerebral ischemia. An ischemic stroke during sexual intercourse is very rare. A basilar artery thrombosis during sexual intercourse has not been described previously. We report a young woman with a life-threatening basilar artery thrombosis during sexual intercourse, with a resulting locked-in syndrome. The positive high intensity transient signals (HITS) diagnosis showed a right-to-left shunt and is in line with paradoxic embolism. The molecular genetics revealed a homozygosity 4G/4G in the region PAI1, -675 (promoter polymorphism) as a risk factor for ischemic stroke. Sexual intercourse is a possible, albeit unusual stroke cause, especially in young people.
ISSN:0967-5868
1532-2653
DOI:10.1016/j.jocn.2020.01.071