A medical report from Indonesia describes a rare and dramatic event where a brain aneurysm ruptured during sexual activity in a 42-year-old man. The account, cited in daily press outlets, highlights how sudden, intense physical exertion can coincide with a serious vascular crisis in the brain. The patient was under care at a major hospital in Surabaya, and clinical notes indicate that he collapsed during intercourse, followed by vomiting and a rapid onset of weakness on the right side of the body. En route to medical care, he experienced repeated, widespread muscular contractions, a sign often associated with an abrupt neurological event requiring urgent intervention.
Clinicians noted that the individual had no prior history of headaches or head injuries, factors that can complicate early recognition of a ruptured aneurysm. Imaging and examination revealed a ruptured intracranial aneurysm, a balloon-like bulge in a blood vessel wall, which can lead to a subarachnoid hemorrhage. Subarachnoid bleeding is a life-threatening condition that can cause brain damage, coma, or death, and among aneurysm patients it is a critical event that requires immediate stabilization and targeted therapy to reduce the risk of further bleeding and secondary brain injury.
Experts discuss the possibility that the rupture was precipitated by the physical stress of sexual activity. In this case, the patient presented with dangerously high blood pressure upon admission, with a reading of 183/105 mmHg. Maintaining stable blood pressure is a crucial goal in the acute phase of aneurysm rupture, because elevated pressures can worsen hemorrhage and increase the likelihood of rebleeding. For adults, typical blood pressure targets during acute care aim to balance the risk of stroke from low perfusion against the danger of additional bleed, and clinicians monitor these values closely as part of the resuscitation and stabilization process.
Following treatment, the patient regained much of the motor function on the right side, illustrating potential recovery after brain injury. However, there was permanent impairment affecting the oculomotor nerve in the left eye, a nerve that governs eye muscle movement, pupil response, and the ability to focus. Nerve-related deficits after subarachnoid hemorrhage can persist even after overall stabilization and physical rehabilitation, sometimes requiring ongoing eye care, vision therapy, or corrective strategies to improve daily functioning. The case underscores how a single vascular event can cause lasting neurological effects while also demonstrating that timely medical intervention can restore substantial function and reduce the risk of fatal outcomes.