Case Report

Death after Sexual Intercourse

Table 2

Timeline of neurological findings.

00:3500:5501:2502:3008:00

EventSexual intercourseAmbulance arrivedArrival at secondary care hospital Arrival at tertiary care hospitalNeurological re-evaluation on ICU

PupilsNormalMiotic bilaterally light reactive pupilsUnilaterally light reactive pupil (left), right pupil wide and nonreactiveBilaterally wide pupils with absent pupillary reflexes bilaterally, irregularities to pupillary margin Bilaterally wide pupils with absent pupillary reflexes bilaterally, irregularities to pupillary margin

Brainstem reflexesPresentPresentUnclearLack of brainstem reflexesLack of brainstem reflexes

CTFigure 1 Figures 1 and 2

Intracerebral pressure86 mmHg90 mmHg

Other findingsGeneralized seizure, comatoseLack of corneal reflexesLack of corneal reflexes