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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. |
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basal ganglia,hemorrhage blood pressure blood pressure,circadian rhythm cavernous hemangioma cerebrovascular accident cerebrovascular accident,activity at onset cerebrovascular accident,circadian rhythm cerebrovascular accident,time of onset circadian rhythm hemorrhage,putamenal hypertension intracerebral hemorrhage malformation,vascular malformation,vascular,cerebral MRI MRI,abnormal sexual intercourse
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