Paradoxical embolism to the central nervous system after sexual intercourse in a young woman with a complex atrial septal abnormality.
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.
Velicu
Simona
S
Department of Neurology, Loyola University Chicago, Stritch School of Medicine, Maywood, Illinois, USA. svelicu@hotmail.com
Biller
José
J
Hacein-Bey
Lotfi
L
Freihage
Jeffrey H
JH
Leya
Fred
F