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  • Title: Paradoxical embolism to the central nervous system after sexual intercourse in a young woman with a complex atrial septal abnormality.
    Author: Velicu S, Biller J, Hacein-Bey L, Freihage JH, Leya F.
    Journal: J Stroke Cerebrovasc Dis; 2008 Sep; 17(5):320-4. PubMed ID: 18755413.
    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.
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