Highlights
- •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.
Abstract
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.
Keywords
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Article info
Publication history
Published online: January 22, 2020
Accepted:
January 13,
2020
Received:
November 18,
2019
Identification
Copyright
© 2020 Elsevier Ltd. All rights reserved.
