title: Death after Sexual Intercourse.
abstract: Sexuality is an essential aspect of quality of life. Nevertheless, sexual intercourse is physically challenging and leads to distinct changes in blood pressure, heart, and respiratory rate that may lead to vital complications. We present a case report of a 22-year-old female suffering from subarachnoid hemorrhage after sexual intercourse. The patient was immediately transported to hospital by emergency medical services and, after diagnosis, transferred to a tertiary hospital with neurosurgical expertise but died within 24 hours. After postcoital headaches, subarachnoid hemorrhage is the second most common cause of neurological complications of sexual intercourse and therefore patients admitted to an emergency department with headache after sexual intercourse should always be carefully evaluated by cerebral imaging.
authors.affiliation: Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse 10, 3010 Bern, Switzerland.
authors.forename: Christian T
authors.initials: CT
authors.lastname: Braun
authors.affiliation: Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse 10, 3010 Bern, Switzerland.
authors.forename: Meret E
authors.initials: ME
authors.lastname: Ricklin
authors.affiliation: University Institute of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University Hospital Bern, Freiburgstrasse 10, 3010 Bern, Switzerland.
authors.forename: Andreina
authors.initials: A
authors.lastname: Pauli
authors.affiliation: University Institute of Diagnostic, Interventional and Pediatric Radiology, Inselspital, University Hospital Bern, Freiburgstrasse 10, 3010 Bern, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Ott
authors.affiliation: Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse 10, 3010 Bern, Switzerland.
authors.forename: Aristomenis K
authors.initials: AK
authors.lastname: Exadaktylos
authors.affiliation: Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse 10, 3010 Bern, Switzerland ; Department of General Anesthesiology, Intensive Care and Pain Management, Medical University of Vienna, Waehringerguertel 18-22, 1090 Vienna, Austria.
authors.forename: Carmen A
authors.initials: CA
authors.lastname: Pfortmueller