A hickey is simply a bruise caused by suction that breaks tiny blood vessels under the skin. In extremely rare situations, a forceful injury to the neck may damage a blood vessel or contribute to a blood clot that can travel to the brain and trigger a stroke. The widely reported case of a 17 year old boy in Mexico is believed to be one of these rare events. For the vast majority of people, hickeys are harmless and do not pose a meaningful risk of stroke.
Source (MLA): De Giorgio, Federico, et al. "Fatal Stroke Following Cervical Trauma." Forensic Science, Medicine and Pathology, vol. 11, no. 4, 2015, pp. 564 to 568. American Stroke Association. Stroke Risk Factors and Prevention.
stroke.org
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