Unusual triggers for stroke

J Clin Neurosci. 2007 Aug;14(8):786-7. doi: 10.1016/j.jocn.2006.05.012. Epub 2007 May 9.


We describe three young patients who had strokes in an unusual setting; two patients during coitus and 1 patient after a bout of laughter. Two patients had a patent foramen ovale and one patient developed vertebral artery dissection during coitus. The underlying stroke mechanisms in the three patients are discussed. These cases highlight the importance of questioning the events preceding stroke onset.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Coitus*
  • Female
  • Humans
  • Laughter*
  • Male
  • Stroke / etiology*