Ischemic stroke during sexual intercourse: a report of 4 cases in persons with patent foramen ovale.

نویسندگان

  • Kyra Becker
  • Elaine Skalabrin
  • Danial Hallam
  • Edward Gill
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