A man almost died having sex after his brain aneurysm burst.
And doctors warned that the 42-year-old could have suffered serious brain damage.
While having sex with his wife, he suddenly lost consciousness before vomiting and developing weakness on the right side of his body.
When he went to the hospital three hours later, the unidentified man from Surabaya, East Java in Indonesia, also had a series of full-body seizures on the way to the hospital.
Doctors who treated him and described his case in a medical journal revealed that he had an aneurysm – a bulge in the wall of a blood vessel in the brain.
The 42-year-old suddenly lost consciousness during sex before vomiting and experiencing weakness on the right side of his body. When he went to the hospital three hours later, the unidentified man from Surabaya, East Java in Indonesia, also had a series of full-body seizures on the way to the hospital.
During sex, the aneurysm ruptured, causing acute subdural hematoma (aSDH) – a serious brain injury that causes blood to pool between the skull and the surface of the brain.
Doctors did not explain why his aneurysm suddenly burst.
But often strenuous exercise that causes shortness of breath and an increase in heart rate is the trigger.
Studies have shown that two-thirds of those with aSDH survive.
But half of the survivors are left with severe brain damage and disabilities.
The condition is usually caused by a head injury.
But eight percent of the time, patients get aSDH because of a ruptured aneurysm, the doctors said.
In Radiology Case Reports, doctors from Dr. Soetomo General Hospital that the man had no previous headaches and no trauma.
He has also never taken anticoagulants, antiplatelet drugs, or drugs for erectile dysfunction, which can increase the risk of an aneurysm.
The date of the incident was not disclosed in the case report.
Results of a routine physical examination revealed that the man had a dangerously high blood pressure of 183/105 mmHg.
The ideal blood pressure is between 90/60 and 120/80, according to the NHS – or below 150/90 if you’re over 80.
Even high blood pressure is considered 140/90 – 150/90 or higher if you are over 80 years old.
He also scored a six out of 15 on the internationally recognized Glasgow Coma Scale – used to assess his visual, verbal and motor responses – indicating his brain injury was severe.
A CT scan revealed that he had aSDH on the left side of his brain, causing it to swell by 0.4cm.
Doctors gave the man the anticonvulsant phenytoin, which is often used to treat epileptic seizures.
A week later, the 42-year-old underwent a cerebral angiography – a scan that provides images of blood vessels in and around the brain – which revealed the aneurysm was 0.8mm long.
He then underwent surgery to repair the ruptured aneurysm and relieve swelling and pressure on the brain.
After this treatment, the man was able to use the right side of his body again.
However, he was left with permanent damage to his oculomotor nerve in his left eye, which controls movement of the eye muscles and contracts the pupil and helps with eye focus.
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Crystal Leahy is an author and health journalist who writes for The Fashion Vibes. With a background in health and wellness, Crystal has a passion for helping people live their best lives through healthy habits and lifestyles.
