sechenovSechenov Medical JournalСеченовский вестник2218-73322658-3348Сеченовский Университетsechenov-773Research ArticleUROLOGYУРОЛОГИЯTHE HEADACHE ASSOCIATED WITH SEXUAL ACTIVITY: A CASE REPORT AND LITERATURE REVIEWГОЛОВНАЯ БОЛЬ, СВЯЗАННАЯ С СЕКСУАЛЬНОЙ АКТИВНОСТЬЮ: ОПИСАНИЕ СЛУЧАЯ И ОБЗОР ЛИТЕРАТУРЫАзимоваЮ. Э.AzimovaY. E.

Ю.Э. Азимова, к.м.н., научный сотрудник лаборатории неврологии и клинической нейрофизиологии

Yu.E. Azimova, PhD, researcher of the laboratory of neurology and clinical neurophysiology

ВинаровА. З.VinarovA. Z.

Андрей Зиновьевич Винаров, д.м.н., заместитель директора по научной работе НИИ уронефрологии и репродуктивного здоровья человека, профессор кафедры урологии8 (499) 248–72–66

119435, г. Москва, ул. Большая Пироговская, д. 2, стр. 1 (Клиника урологии, 1 этаж)

A.Z. Vinarov, MD, deputy director for scientific work of the Research centre of uronephrology and reproductive health, prof. of the chair of urology

avinarov@mail.ruТабееваГ. Р.TabeevaG. R.

Г.Р. Табеева, д.м.н., профессор, заведующая лабораторией неврологии и клинической нейрофизиологии

G.R. Tabeeva, MD, prof., head of the laboratory of neurology and clinical neurophysiology

Первый МГМУ им. И.М. СеченоваРоссияFirst MSMU named after I.M. SechenovRussian Federation201230092012032530Copyright © Azimova Y.E., Vinarov A.Z., Tabeeva G.R., 20122012Азимова Ю.Э., Винаров А.З., Табеева Г.Р.Azimova Y.E., Vinarov A.Z., Tabeeva G.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sechenovmedj.com/jour/article/view/773

Primary headache associated with sexual activity (PHASA) is a form of primary headaches, precipitated by sexual activity, in the absence of any intracranial disorder. Two types of PHASA are discerned: preorgasmic and orgasmic. A case of 44 years old patient with orgasmic headache is presented. Principles of differential diagnosis of orgasmic headache with secondary headaches and management of patients with PHASA are discussed.

Первичная головная боль, связанная с сексуальной активностью (ПГБССА) — одна из форм первичных цефалгий, провоцирующаяся сексуальной активностью при отсутствии внутричерепной патологии. Выделяется два типа коитальной головной боли: преоргазмическая и оргазмическая. Приводится наблюдение пациентки 44 лет с оргазмической формой ПГБССА. Обсуждаются принципы дифференциальной диагностики оргазмической цефалгии со вторичными цефалгиями, а также вопросы ведения пациентов с ПГБССА.

Первичная головная больсвязанная с сексуальной активностьюоргазмическая головная больPrimary headache associated with sexual activityorgasmic headacheReferencesОкнин В.Ю., Артеменко А.Р. Азбука головной боли. — М.: Эйдос-Медиа. — 2003. — 264 с.Окнин В.Ю., Артеменко А.Р. Азбука головной боли. — М.: Эйдос-Медиа. — 2003. — 264 с.Lance J.W. Headaches occurring during sexual intercourse // Proc. Aust. Assoc. Neurol. — 1974. — Vol. 11. — P. 57–60.Lance J.W. Headaches occurring during sexual intercourse // Proc. Aust. Assoc. Neurol. — 1974. — Vol. 11. — P. 57–60.Paulson G.W., Klawans H.L. Benign orgasmic cephalgia // Headache. — 1974. — Vol. 13. — P. 181–187.Paulson G.W., Klawans H.L. Benign orgasmic cephalgia // Headache. — 1974. — Vol. 13. — P. 181–187.Международная классификация головных болей 2-ое издание (полная русскоязычная версия). — 2006. — 380 с.Международная классификация головных болей 2-ое издание (полная русскоязычная версия). — 2006. — 380 с.Anand K.S., Dhikav V. Primary headache associated with sexual activity. Singapore Med. J. — 2009. — Vol. 50. — P. 176–177.Anand K.S., Dhikav V. Primary headache associated with sexual activity. Singapore Med. J. — 2009. — Vol. 50. — P. 176–177.Екушева Е.В., Филатова Е.Г. Головная боль, вызванная сексуальной активностью // Журн. неврол. и психиатр. — 2003. — № 10. — С. 22–26.Екушева Е.В., Филатова Е.Г. Головная боль, вызванная сексуальной активностью // Журн. неврол. и психиатр. — 2003. — № 10. — С. 22–26.Frese A., Eikermann A., Frese K. et al. Headache associated with sexual activity: demography, clinical features, and comorbidity // Neurology. — 2003. — Vol. 23. — P. 796–800.Frese A., Eikermann A., Frese K. et al. Headache associated with sexual activity: demography, clinical features, and comorbidity // Neurology. — 2003. — Vol. 23. — P. 796–800.Houle T.T., Dhingra L.K., Remble T.A. et al. Not tonight, I have a headache? // Headache. — 2006. — Vol. 46. — P. 983–990.Houle T.T., Dhingra L.K., Remble T.A. et al. Not tonight, I have a headache? // Headache. — 2006. — Vol. 46. — P. 983–990.Delasobera B.E., Osborn S.R., Davis J.E. Thunderclap Headache with Orgasm: A case of Basilar artery dissection associated with sexual intercourse // J. Emerg. Med. — 2009. (In print.)Delasobera B.E., Osborn S.R., Davis J.E. Thunderclap Headache with Orgasm: A case of Basilar artery dissection associated with sexual intercourse // J. Emerg. Med. — 2009. (In print.)Keyrouz S., Dhar R., Axelrod Y. Call-Fleming syndrome and orgasmic cephalgia // Headache. — 2008. — Vol. 48. — P. 967–971.Keyrouz S., Dhar R., Axelrod Y. Call-Fleming syndrome and orgasmic cephalgia // Headache. — 2008. — Vol. 48. — P. 967–971.Rasmussen B.K., Olesen J. Symptomatic and nonsymptomatic headaches in a general population // Neurology. — 1992. — Vol. 42. — P. 1225–1231.Rasmussen B.K., Olesen J. Symptomatic and nonsymptomatic headaches in a general population // Neurology. — 1992. — Vol. 42. — P. 1225–1231.Selekler M., Kutlu A., Dundar G. Orgasmic headache responsive to greater occipital nerve blockade // Headache. — 2009. — Vol. 49. — P. 130–147.Selekler M., Kutlu A., Dundar G. Orgasmic headache responsive to greater occipital nerve blockade // Headache. — 2009. — Vol. 49. — P. 130–147.Frese A., Rahmann A., Gregor N. et al. Headache associated with sexual activity: prognosis and treatment options // Cephalalgia. — 2007. — Vol. 27. — P. 1265–1270.Frese A., Rahmann A., Gregor N. et al. Headache associated with sexual activity: prognosis and treatment options // Cephalalgia. — 2007. — Vol. 27. — P. 1265–1270.Locksley H.B. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations // Sahs A.L. et al. — Philadelphia, PA: Lippincott, 1969. — P. 37–57.Locksley H.B. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations // Sahs A.L. et al. — Philadelphia, PA: Lippincott, 1969. — P. 37–57.Chakravarty A. Primary headaches associated with sexual activity — some observations in Indian patients // Cephalalgia. — 2006. — Vol. 26. — P. 202–207.Chakravarty A. Primary headaches associated with sexual activity — some observations in Indian patients // Cephalalgia. — 2006. — Vol. 26. — P. 202–207.Lundberg P.O., Ostermann P.O. The benign and malignant forms of orgasmic cephalalgia // Headache. — 1974. — Vol. 14. — P. 164–165.Lundberg P.O., Ostermann P.O. The benign and malignant forms of orgasmic cephalalgia // Headache. — 1974. — Vol. 14. — P. 164–165.Alvaro L.C., Iriondo I., Villaverde F.J. Sexual headache and stroke in a heavy cannabis smoker // Headache. — 2002. — Vol. 42. — P. 224–226.Alvaro L.C., Iriondo I., Villaverde F.J. Sexual headache and stroke in a heavy cannabis smoker // Headache. — 2002. — Vol. 42. — P. 224–226.Biran I., Steiner I. Coital headaches induced by amiodarone // Neurology. — 2002. — Vol. 58. — P. 501–502.Biran I., Steiner I. Coital headaches induced by amiodarone // Neurology. — 2002. — Vol. 58. — P. 501–502.Evers S., Peikert A., Frese A. Sexual headache in young adolescence: a case report // Headache. — 2009. — Vol. 49. — P. 1234–1235.Evers S., Peikert A., Frese A. Sexual headache in young adolescence: a case report // Headache. — 2009. — Vol. 49. — P. 1234–1235.Pascual J., González-Mandly A., Martín R. et al. Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study // J. Headache Pain. — 2008. — Vol. 5. — P. 259–266.Pascual J., González-Mandly A., Martín R. et al. Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study // J. Headache Pain. — 2008. — Vol. 5. — P. 259–266.Gotkine M., Steiner I., Biran I. Now dear, I have a headache! Immediate improvement of cluster headaches after sexual activity // J. Neurol. Neurosurg. Psychiatry. — 2006. — Vol. 77. — P. 1296.Gotkine M., Steiner I., Biran I. Now dear, I have a headache! Immediate improvement of cluster headaches after sexual activity // J. Neurol. Neurosurg. Psychiatry. — 2006. — Vol. 77. — P. 1296.Evans R.W., Moore K.L. Sexual intercourse followed by headache and transient monocular visual loss // Headache. — 2008. — Vol. 48. — P. 616–620.Evans R.W., Moore K.L. Sexual intercourse followed by headache and transient monocular visual loss // Headache. — 2008. — Vol. 48. — P. 616–620.Locksley H.B. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations // Sahs A.L. et al. — Philadelphia, PA: Lippincott, 1969. — P. 37–57.Locksley H.B. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations // Sahs A.L. et al. — Philadelphia, PA: Lippincott, 1969. — P. 37–57.Chakravarty A. Primary headaches associated with sexual activity — some observations in Indian patients // Cephalalgia. — 2006. — Vol. 26. — P. 202–207.Chakravarty A. Primary headaches associated with sexual activity — some observations in Indian patients // Cephalalgia. — 2006. — Vol. 26. — P. 202–207.Kapoor R.,Kendall B.E., Harrison M.J.D. Persistent segmental cerebral artery constriction in coital cephalgia // J. Neurol. Neurosurg. Psychiatry. — 1990. — Vol. 53. — P. 266–270.Kapoor R.,Kendall B.E., Harrison M.J.D. Persistent segmental cerebral artery constriction in coital cephalgia // J. Neurol. Neurosurg. Psychiatry. — 1990. — Vol. 53. — P. 266–270.Newman L.C. Classifi cation and diagnosis of trigeminal autonomic cephalalgias and other primary headaches // Levin M. et al. — N.Y.: Oxford University Press, 2008. — P. 91–112.Newman L.C. Classifi cation and diagnosis of trigeminal autonomic cephalalgias and other primary headaches // Levin M. et al. — N.Y.: Oxford University Press, 2008. — P. 91–112.Frese A., Frese K., Ringelstein E.B. et al. Cognitive processing in headache associated with sexual activity // Cephalalgia. — 2003. — Vol. 23. — P. 545–551.Frese A., Frese K., Ringelstein E.B. et al. Cognitive processing in headache associated with sexual activity // Cephalalgia. — 2003. — Vol. 23. — P. 545–551.Frese A., Gantenbein A., Marziniak M. et al. Triptans in orgasmic headache // Cephalalgia. — 2006. — Vol. 26. — P. 1458–1461.Frese A., Gantenbein A., Marziniak M. et al. Triptans in orgasmic headache // Cephalalgia. — 2006. — Vol. 26. — P. 1458–1461.Levy R.L. Stroke and orgasmic headache // Headache. — 1981. — Vol. 21. — P. 12–13.Levy R.L. Stroke and orgasmic headache // Headache. — 1981. — Vol. 21. — P. 12–13.Akpunonu B.E., Ahrens J. Sexual headaches: case report, review, and treatment with calcium blocker // Headache. — 1991. — Vol. 31. — P. 141–145.Akpunonu B.E., Ahrens J. Sexual headaches: case report, review, and treatment with calcium blocker // Headache. — 1991. — Vol. 31. — P. 141–145.Martin E.A. Headache during sexual intercourse (coital cephalalgia) // Ir. J. Med. Sc. — 1974. — Vol. 143. — P. 342–345.Martin E.A. Headache during sexual intercourse (coital cephalalgia) // Ir. J. Med. Sc. — 1974. — Vol. 143. — P. 342–345.

The authors declare that there are no conflicts of interest present.