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Subarachnoid haemorrhage: a sinister cause of transient loss of consciousness during oral sex


Transient loss of consciousness (TLOC) is a common presentation to the emergency department and has a multitude of causes from benign to potentially fatal. We describe the case of a young female presenting with TLOC during sexual activity that was subsequently diagnosed with subarachnoid haemorrhage. She had normal neurology and only moderate headache. She was subsequently transferred to a neurosurgical unit and underwent endovascular coiling of a small anterior communicating artery aneurysm. She was discharged 15 days later without sequelae.

  • Neurosurgery
  • Emergency Medicine
  • Headache (including Migraines)

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