Ischemic stroke during sexual intercourse: a report of 4 cases in persons with patent foramen ovale.
نویسندگان
چکیده
BACKGROUND The association between patent foramen ovale (PFO) and stroke risk in young adults is controversial and poorly understood. Paradoxical embolization through a PFO represents a possible mechanism by which PFO might predispose to stroke. OBJECTIVE To describe 4 patients with PFO who experienced the onset of ischemic stroke during sexual intercourse. DESIGN Case series. SETTING Tertiary referral stroke clinic. PATIENTS Consecutive patients experiencing stroke during intercourse. RESULTS All 4 patients were found to have PFO. Despite a thorough evaluation, no other etiology for stroke was identified. CONCLUSION We suggest that paradoxical embolization through a PFO due to elevated intrathoracic pressure during sexual activity could be a potential mechanism for stroke in these patients.
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عنوان ژورنال:
- Archives of neurology
دوره 61 7 شماره
صفحات -
تاریخ انتشار 2004