Development of Internal Carotid Artery Dissection During Masturbation


      Sexual intercourse is known as one of the daily activities triggering spontaneous cervicocephalic artery dissection (sCAD), however, it has been unclear if masturbation can trigger the development of sCAD. Herein, we report a case of sCAD in association with masturbation. A 51-year-old right-handed man developed subarachnoid hemorrhage during masturbation. The dissection of the left internal carotid artery was evident on the 9th hospital day. Finally, he was treated with stenting and coiling and discharged with a good prognosis.

      Key Word

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Stroke and Cerebrovascular Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Headache Classification Committee of the International Headache Society
        The international classification of headache disorders: 2nd edition.
        Cephalalgia. 2004; 24: 9-160
        • Ducros A
        • Wolff V.
        The typical thunderclap headache of reversible cerebral vasoconstriction syndrome and its various triggers.
        Headache. 2016; 56: 657-673
        • Valença MM
        • Valença LP
        • Bordini CA
        • et al.
        Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms.
        Headache. 2004; 44: 244-248
        • Ducros A
        Reversible cerebral vasoconstriction syndrome.
        The Lancet Neurol. 2012; 11: 906-917
        • Debette S
        • Compter A
        • Labeyrie MA
        • et al.
        Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection.
        Lancet Neurol. 2015; 14: 640-654
        • Kruger T
        • Exton MS
        • Pawlak C
        • et al.
        Neuroendocrine and cardiovascular response to sexual arousal and orgasm in men.
        Psychoneuroendocrinology. 1998; 23: 401-411
        • Blanke-Roeser C
        • Matschke J
        • Püschel K
        Sexual activity as a risk factor for the spontaneous rupture of cerebral aneurysms.
        Am J Forensic Med Pathol. 2016; 37: 70-73
        • Nikolić S
        • Živković V.
        Fatal subarachnoid hemorrhage during sexual anal self-stimulation in a female: a case report.
        Am J Forensic Med Pathol. 2012; 33: 152-155