title: Paradoxical embolism to the central nervous system after sexual intercourse in a young woman with a complex atrial septal abnormality.
abstract: Ischemic stroke during sexual intercourse is an unusual occurrence. We report the evaluation and treatment of a young woman on oral contraceptives, with a complex atrial septal abnormality and right lower extremity deep vein thrombus, who had an ischemic stroke during sexual intercourse. Successful treatment was accomplished with administration of intra-arterial tissue plasminogen activator and subsequent transvascular occlusion of the atrial septal abnormality.
authors.affiliation: Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois, USA. svelicu@hotmail.com
authors.forename: Simona
authors.initials: S
authors.lastname: Velicu
authors.forename: José
authors.initials: J
authors.lastname: Biller
authors.forename: Lotfi
authors.initials: L
authors.lastname: Hacein-Bey
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Freihage
authors.forename: Fred
authors.initials: F
authors.lastname: Leya