Martin-Luther-University Halle-Wittenberg, Department of Neurology, Ernst-Grube-Straße 40, 06120 Halle (Saale), Germany.
J Clin Neurosci. 2020 Apr;74:238-240. doi: 10.1016/j.jocn.2020.01.071. Epub 2020 Jan 22.
An ischemic stroke during sexual intercourse is very rare. A basilar artery thrombosis during sexual intercourse has not been described previously. We report a young woman with a life-threatening basilar artery thrombosis during sexual intercourse, with a resulting locked-in syndrome. The positive high intensity transient signals (HITS) diagnosis showed a right-to-left shunt and is in line with paradoxic embolism. The molecular genetics revealed a homozygosity 4G/4G in the region PAI1, -675 (promoter polymorphism) as a risk factor for ischemic stroke. Sexual intercourse is a possible, albeit unusual stroke cause, especially in young people.
性交时发生的缺血性脑卒中非常罕见。性交时基底动脉血栓形成以前尚未描述过。我们报告了一例年轻女性在性交时发生危及生命的基底动脉血栓形成，导致闭锁综合征。阳性高强度短暂信号（HITS）诊断显示存在右向左分流，符合反常栓塞。分子遗传学显示 PAI1 区域 4G/4G 纯合子（启动子多态性）是缺血性脑卒中的危险因素。性交是一种可能的但不常见的脑卒中病因，尤其是在年轻人中。
