J Cerebrovasc Endovasc Neurosurg.  2016 Jun;18(2):100-105. 10.7461/jcen.2016.18.2.100.

Acute Pontine Infarction due to Basilar Artery Dissection from Strenuous Physical Effort: One from Sexual Intercourse and Another from Defecation

• Kim SH
• Lee YS
• Suh SJ
• Lee JH
• Ryu KY
• Kang DG

• KMID: 2354883
• DOI: http://doi.org/10.7461/jcen.2016.18.2.100

Abstract

A basilar artery dissection (BAD) is an extremely rare disease. It can lead to hemorrhage or infarction involving the brain stem, and is often associated with grave outcome. However, little is known about the pathophysiology of BAD, and its proper managements are yet in controversy. Herein, we report on two rare cases of basilar artery dissection from strenuous physical effort; one from sexual intercourse and another from defecation. The treatment modalities and the outcomes are also discussed.

Keyword

Basilar artery dissection; Physical effort; Stenting

MeSH Terms

Basilar Artery*
Brain Stem
Coitus*
Defecation*
Hemorrhage
Infarction*
Physical Exertion*
Rare Diseases