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Coital cerebral hemorrhage
1Department of Neurology, Hartford Hospital, University of Connecticut School of Medicine, Hartford 06115.
Sudden headache, confusion, and hemiparesis followed within minutes of late-morning sexual intercourse in a 39-year-old man. Imaging studies revealed hemorrhage into a vascular malformation. Sexual intercourse and circadian rhythm independently elevate blood pressure, and their concurrence may predispose to cerebral hemorrhage in the presence of a vascular malformation.
Sudden headache, confusion, and hemiparesis followed within minutes of late-morning sexual intercourse in a 39-year-old man. Imaging studies revealed hemorrhage into a vascular malformation. Sexual intercourse and circadian rhythm independently elevate blood pressure, and their concurrence may predispose to cerebral hemorrhage in the presence of a vascular malformation.