Navigation Links
Unusual case of a woman who suffered stroke during sex
Date:9/14/2008

MAYWOOD, Ill. -- Minutes after having sexual intercourse with her boyfriend, a 35-year-old woman suddenly felt her left arm go weak. Her speech became slurred and she lost feeling on the left side of her face.

She was having a stroke. Doctors later concluded the stroke probably was due to several related factors, including birth control pills, a venous blood clot, sexual intercourse and a heart defect.

Doctors at Loyola University Medical Center describe the unusual case in the Journal of Stroke and Cerebrovascular Disease.

Birth control pills slightly increase the risk of blood clots. Doctors believe a small clot formed in one of the veins in her thigh, broke loose and traveled to the right atrium (the heart's upper right pumping chamber). Normally in such cases, the clot will get pumped out of the right atrium and travel to the lungs, where it may harmlessly dissolve.

In this case, there was a hole in a wall of the heart separating the right atrium from the left atrium. Pressure changes in the heart, triggered by sexual intercourse, enabled the clot to travel through the hole from the right atrium to the left atrium. From there, the clot traveled up to the brain. It lodged in a narrow blood vessel, blocking blood flow to an area of the brain that controls movements on the left side of the body, said Dr. Jose Biller, co-author of the report and chairman of the Department of Neurology at Loyola University Chicago Stritch School of Medicine.

The woman was taken to a community hospital, then transferred to Loyola. There was still a chance doctors could reverse stroke damage, but time was running out.

In strokes caused by clots, a drug called tPA can dissolve the clot and restore blood flow before brain cells are irreversibly damaged. tPA is safe and effective if given intravenously within three hours of the onset of symptoms.

The woman arrived at Loyola six hours after her stroke. It was too late to receive tPA given intravenously. But there was a chance the clot buster drug still could work if it were delivered directly into the affected blood vessel in the brain.

An interventional neuroradiologist inserted a catheter (thin tube) into a groin artery, and guided it up to the spot in the brain where the clot was lodged. After the catheter delivered the tPA, the clot began to dissolve.

The improvement was immediate and dramatic. When the woman arrived at Loyola, her stroke score was 13, on a scale of 1 to 43, with 43 representing the most catastrophic outcome. Within an hour of treatment, her score dropped to 5. Her stroke score dropped to 3 after 12 hours and to 1 after two months. Her only lingering symptoms were a slight weakening of her facial muscle and minimal impairment of her left hand, said Dr. Simona Velicu, who assisted Biller. Velicu, a neurology resident at Stritch, is lead author of the case report.

Doctors prescribed aspirin and a blood thinner, advised the woman to stop taking birth control pills and scheduled a follow-up procedure to repair the hole in her heart. The defect, called a patent foramen ovale (PFO), occurs in about 1 in 4 adults. While in many people a PFO will never cause problems, the defect might be associated with an increased risk of stroke. How these patients should be managed remains controversial.

Dr. Fred Leya, an interventional cardiologist, used a catheter to place a device in the woman's heart that plugged the hole. Leya has done about 150 PFO repairs, and is participating with his neurology colleagues in a clinical trial of a leading repair device. Leya is a professor of medicine in the Department of Cardiology at Loyola's Stritch School of Medicine.

There are no statistics on the number of patients who have experienced strokes during sexual intercourse. While it appears that such strokes are rare in young adults, a few case reports have been reported. A 2004 report in the Archives of Neurology reported on four patients who had strokes during intercourse: a 38-year-old man and three women in their twenties. Like the Loyola patient, they all had the PFO defect.


'/>"/>

Contact: Jim Ritter
jritter@lumc.edu
708-216-2445
Loyola University Health System
Source:Eurekalert

Related medicine news :

1. Signature Hospice Team Grants Patients Unusual Wish
2. Unusual chromosomal changes increase the risk of schizophrenia
3. Baby's Blindness Resolved, Nerves in Knee Regenerated and Other Unusual Complimentary Therapies from BiomagScience
4. Fosamax Linked to Unusual Femur Fractures
5. Researchers identify unusual molecular switch for common form of advanced breast cancer
6. The SCOOTER Stores Gift of a Power Wheelchair Allows Woman to Enjoy Active Life Once Again
7. ScentToSleep.com Is Pleased to Announce That the Company Was Featured in the September 15th Issue of Womans World Magazine
8. Statement From the Office of Congresswoman Stephanie Tubbs Jones
9. The Inhumanity of Nothing: The Death of the Woman in the Kings County ER, Editorial by T. L. Kittle
10. Woman aquires new accent after stroke
11. Worlds oldest woman had normal brain
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... New York, NY (PRWEB) , ... October 13, 2017 , ... ... most influential people in business to advocate for action towards gender equality at their ... 18,000 views from around the globe, and reached a social audience of over 3 ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, ... lowdown on sciatica in a new episode of "Success Files," which is an ... and innovation and investigates each subject in-depth with passion and integrity. , Sciatica ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: ... “America On The Brink” is the creation of published author, William Nowers. ... As a WWII veteran, he spent thirty years in the Navy. Following ...
(Date:10/12/2017)... LA (PRWEB) , ... October 12, 2017 , ... Planet ... in the U.S., announced today its plans to open a flagship location in Covington, ... occupy the former Rooms To Go store next to Office Depot in the Holiday ...
(Date:10/12/2017)... ... October 12, 2017 , ... The American College of ... Carol Friedman, PhD, FACMI, during the Opening Session of AMIA’s Annual Symposium in Washington, ... In honor of Morris F. Collen, a pioneer in the field of medical informatics, ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)...  Caris Life Sciences ® , a leading innovator ... precision medicine, today announced that St. Jude Medical Center,s ... (POA) as its 17 th member. Through participation ... Cancer Institute will help develop standards of care and ... making cancer treatment more precise and effective. ...
(Date:10/10/2017)... EXTON, Pa. , Oct. 10, 2017   ... leader in innovative solutions for injectable drug administration, today ... of West,s ID Adapter for improving the intradermal administration ... the Fourth Skin Vaccination Summit in May 2017 by ... Team Lead, Polio Department, World Health Organization (WHO), and ...
(Date:10/4/2017)... , Oct. 4, 2017  According to the Centers for Disease ... end of October . PhysicianOne Urgent Care is helping communities across ... Westchester, NY , by offering no-cost* flu shots through the end ... mandated by certain health insurance regulations. ... The best time to get a flu shot is by the end ...
Breaking Medicine Technology: