Unusual triggers for stroke.

  title={Unusual triggers for stroke.},
  author={Jeyaraj Pandian and Robert D Perel and Robert D. Henderson and John D O'sullivan and Stephen James Read},
  journal={Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia},
  volume={14 8},
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. 

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