THE HEADACHE ASSOCIATED WITH SEXUAL ACTIVITY: A CASE REPORT AND LITERATURE REVIEW
Abstract
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.
About the Authors
Y. E. Azimova
First MSMU named after I.M. Sechenov
Russian Federation
Russian Federation
Yu.E. Azimova, PhD, researcher of the laboratory of neurology and clinical neurophysiology
A. Z. Vinarov
First MSMU named after I.M. Sechenov
Russian Federation
Russian Federation
A.Z. Vinarov, MD, deputy director for scientific work of the Research centre of uronephrology and reproductive health, prof. of the chair of urology
G. R. Tabeeva
First MSMU named after I.M. Sechenov
Russian Federation
Russian Federation
G.R. Tabeeva, MD, prof., head of the laboratory of neurology and clinical neurophysiology
References
1. Окнин В.Ю., Артеменко А.Р. Азбука головной боли. — М.: Эйдос-Медиа. — 2003. — 264 с.
2. Lance J.W. Headaches occurring during sexual intercourse // Proc. Aust. Assoc. Neurol. — 1974. — Vol. 11. — P. 57–60.
3. Paulson G.W., Klawans H.L. Benign orgasmic cephalgia // Headache. — 1974. — Vol. 13. — P. 181–187.
4. Международная классификация головных болей 2-ое издание (полная русскоязычная версия). — 2006. — 380 с.
5. Anand K.S., Dhikav V. Primary headache associated with sexual activity. Singapore Med. J. — 2009. — Vol. 50. — P. 176–177.
6. Екушева Е.В., Филатова Е.Г. Головная боль, вызванная сексуальной активностью // Журн. неврол. и психиатр. — 2003. — № 10. — С. 22–26.
7. 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.
8. Houle T.T., Dhingra L.K., Remble T.A. et al. Not tonight, I have a headache? // Headache. — 2006. — Vol. 46. — P. 983–990.
9. 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.)
10. Keyrouz S., Dhar R., Axelrod Y. Call-Fleming syndrome and orgasmic cephalgia // Headache. — 2008. — Vol. 48. — P. 967–971.
11. Rasmussen B.K., Olesen J. Symptomatic and nonsymptomatic headaches in a general population // Neurology. — 1992. — Vol. 42. — P. 1225–1231.
12. Selekler M., Kutlu A., Dundar G. Orgasmic headache responsive to greater occipital nerve blockade // Headache. — 2009. — Vol. 49. — P. 130–147.
13. Frese A., Rahmann A., Gregor N. et al. Headache associated with sexual activity: prognosis and treatment options // Cephalalgia. — 2007. — Vol. 27. — P. 1265–1270.
14. 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.
15. Chakravarty A. Primary headaches associated with sexual activity — some observations in Indian patients // Cephalalgia. — 2006. — Vol. 26. — P. 202–207.
16. Lundberg P.O., Ostermann P.O. The benign and malignant forms of orgasmic cephalalgia // Headache. — 1974. — Vol. 14. — P. 164–165.
17. Alvaro L.C., Iriondo I., Villaverde F.J. Sexual headache and stroke in a heavy cannabis smoker // Headache. — 2002. — Vol. 42. — P. 224–226.
18. Biran I., Steiner I. Coital headaches induced by amiodarone // Neurology. — 2002. — Vol. 58. — P. 501–502.
19. Evers S., Peikert A., Frese A. Sexual headache in young adolescence: a case report // Headache. — 2009. — Vol. 49. — P. 1234–1235.
20. 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.
21. 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.
22. Evans R.W., Moore K.L. Sexual intercourse followed by headache and transient monocular visual loss // Headache. — 2008. — Vol. 48. — P. 616–620.
23. 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.
24. Chakravarty A. Primary headaches associated with sexual activity — some observations in Indian patients // Cephalalgia. — 2006. — Vol. 26. — P. 202–207.
25. 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.
26. 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.
27. Frese A., Frese K., Ringelstein E.B. et al. Cognitive processing in headache associated with sexual activity // Cephalalgia. — 2003. — Vol. 23. — P. 545–551.
28. Frese A., Gantenbein A., Marziniak M. et al. Triptans in orgasmic headache // Cephalalgia. — 2006. — Vol. 26. — P. 1458–1461.
29. Levy R.L. Stroke and orgasmic headache // Headache. — 1981. — Vol. 21. — P. 12–13.
30. Akpunonu B.E., Ahrens J. Sexual headaches: case report, review, and treatment with calcium blocker // Headache. — 1991. — Vol. 31. — P. 141–145.
31. Martin E.A. Headache during sexual intercourse (coital cephalalgia) // Ir. J. Med. Sc. — 1974. — Vol. 143. — P. 342–345.
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