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headache coital

Nuri Jacoby, Ulrike Kaunzner, Marc Dinkin, Joseph Safdieh
This is a case of a 52-year-old man with a past medical history of 2 episodes of coital thunderclap headaches as well as recent cocaine, marijuana, and pseudoephedrine use, who presented with sudden, sharp, posterior headache associated with photophobia and phonophobia. His initial magnetic resonance imaging (MRI) of the brain, magnetic resonance angiography (MRA) of the head, and magnetic resonance venography (MRV) of the head were all normal as well as a normal lumbar puncture. Given the multiple risk factors for reversible cerebral vasoconstriction syndrome (RCVS), the patient was treated for suspected RCVS, despite the normal imaging...
July 2016: Neurohospitalist
Mario P R Festin, Luis Bahamondes, Thi My Huong Nguyen, Ndema Habib, Manopchai Thamkhantho, Kuldip Singh, Arundhati Gosavi, Gyorgy Bartfai, Tamas Bito, M Valeria Bahamondes, Nathalie Kapp
STUDY QUESTION: Will the use of levonorgestrel (LNG) 1.5 mg taken at each day of coitus by women who have relatively infrequent sex be an efficacious, safe and acceptable contraceptive method? SUMMARY ANSWER: Typical use of LNG 1.5 mg taken pericoitally, before or within 24 h of sexual intercourse, provides contraceptive efficacy of up to 11.0 pregnancies per 100 women-years (W-Y) in the primary evaluable population and 7.1 pregnancies per 100 W-Y in the evaluable population...
March 2016: Human Reproduction
E Montague, C Murphy
Reversible cerebral vasoconstriction syndrome (rCVS) is an important cause of acute severe headache that is poorly understood and under-recognised. It typically presents with recurrent thunderclap headaches and is characterised by multifocal, segmental constriction and dilatation of the cerebral arteries, shown by a 'string of beads' appearance, on cerebral angiography. We describe a case of rCVS in a 39-year-old male presenting with post-coital thunderclap headaches following a whiplash-type injury.
2014: Acute Medicine
Gerard Mauri, Pedro Vega, Eduardo Murias, Juan Vega, César Ramón, Julio Pascual
BACKGROUND: There is only one reported case of recurrent coital headache related to an unruptured saccular aneurysm of the carotid artery. CASE REPORTS: We report on two cases of isolated recurrent coital/exertional headaches ipsilateral to unruptured fusiform aneurysms of the vertebral artery diagnosed by CT angiography. While one case is being managed conservatively, a vertebral stent has been set in the other. CONCLUSIONS: CT angiography with full visualisation of intracranial and upper cervical arteries could be used as a screening diagnostic procedure in these cases...
July 2012: Cephalalgia: An International Journal of Headache
Selwyn Dexter
This is a case of a male patient with a 27 year history of severe benign coital headache and associated symptoms. His condition was spontaneously relieved in the first trimester of his partner's pregnancy. This relief continued through the remainder of the pregnancy term, returning only after the birth of their child. The timing of the condition's relief and return of symptoms suggested progesterone was an intrinsic factor in this. Post-pregnancy the patient was able to prevent his attacks by taking oral norethisterone 5 mg...
2010: BMJ Case Reports
B Elizabeth Delasobera, Scott R Osborn, Jonathan E Davis
BACKGROUND: Headaches associated with sexual intercourse (coital cephalgia) have many different causes and are often divided in the literature into pre-orgasmic and orgasmic headaches. OBJECTIVE: To present a case of orgasmic headache caused by a basilar artery dissection and to present a literature-based guide to the diagnosis and management of patients presenting with headaches related to sexual activity. CASE REPORT: We report the case of a 34-year-old man without significant past medical history who presented to the Emergency Department with two episodes of orgasmic headache caused by basilar artery dissection...
July 2012: Journal of Emergency Medicine
Juan M Uterga, Miguel A Gonzalez de Garay, Itziar Ortiz de Luna, Juan B Uribarri
We report the case of a 48-year-old woman whose recurrent coital headache ceased following intracranial internal carotid artery aneurysm embolization.
September 2009: Headache
K S Anand, V Dhikav
A rare case of primary headache associated with sexual activity in a 40-year-old married Indian man who had coital and postcoital headaches responsive to indomethacin is reported.
May 2009: Singapore Medical Journal
Han-Joon Kim, So-Young Seo
We present a 44-year-old woman who was admitted to our hospital after three episodes of coital headache. Magnetic resonance imaging (MRI) and angiography (MRA) revealed no vascular abnormality. She was discharged with a diagnosis of primary headache associated with sexual activity (PHSA). Although she abstained from sexual activity after discharge, she experienced recurrent headaches several times a day, whenever there was a change in her emotional state. This case implies that emotional changes can trigger headache attacks during headache-prone state in PHSA...
October 15, 2008: Journal of the Neurological Sciences
M SuttonBrown, W Morrish, D W Zochodne
No abstract text is available yet for this article.
August 2006: Cephalalgia: An International Journal of Headache
Izabela Domitrz
Benign coital headache is known as a rare type of primary headache related to sexual activity. The pathogenesis of this type of headache remains unknown. Clinical manifestation is typical and connected with three phases of sexual activity. Coital cephalalgia is divided into two subtypes: preorgasmic and orgasmic headache. Some authors specifie the third type--postural type. Preorgasmic headache starts as a dull bilateral ache and increases with sexual excitement. Orgasmic headache has sudden, intense character and occurs at orgasm...
December 2005: Ginekologia Polska
Marcelo M Valença, Luciana P A A Valença, Carlos A Bordini, Wilson Farias da Silva, João P Leite, José Antunes-Rodrigues, José G Speciali
BACKGROUND: The pathophysiology of the explosive type of headache associated with sexual activity is not completely understood. Five reported cases of patients with thunderclap headache, precipitated by sexual activity, in association with concomitant cerebral arterial narrowing, were found in the literature. METHODS: A 44-year-old woman with both coital and masturbatory headaches during orgasm associated with segmental reversible cerebral artery vasospasm was investigated...
March 2004: Headache
E V Ekusheva, E G Filatova
Headache caused by sexual activity, or coital headache, is included in International headache classification (1988). The paper presents 19 cases (15 males, 4 females, mean age 34 years) examined by the authors. In 58% of the cases, headache developed before orgasm, in 26%--during orgasm and in 16%--after it. Duration of severe headache was from several to 15 min and of moderate one--up to 7 h. In total, disease lasted from 1 week to 8 years. Focal neurological symptoms were absent; magnetic resonance tomography did not reveal any changes in 68% of the patients, while the others had mild hydrocephalia...
2003: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Günter Görge, Stephan Flüchter, Michael Kirstein, Thomas Kunz
BACKGROUND: Erectile dysfunction (ED) is defined as the inability to attain and/or maintain penile erection sufficient for satisfactory sexual performance. ED may also be an early sign of cardiovascular disease. The main risk factors for coronary heart disease (high LDL, smoking, hypertension, diabetes) and ED are the same. ED after the diagnosis of coronary artery disease or myocardial infarction is also common. CARDIOVASCULAR EFFECTS AND RISK OF SEXUAL ACTIVITY: Cardiac and metabolic expenditures during sexual intercourse will vary depending on the type of sexual activity...
June 2003: Herz
F H H Linn, E F M Wijdicks
BACKGROUND: Thunderclap headache (or sudden severe headache) is an uncommon type of headache. Recognition and accurate diagnosis of this headache are important, because there is often a serious underlying brain disorder. SUMMARY: In this article, causes and management of thunderclap headache are discussed. In the primary care setting, there is a serious cause in one third of patients, but in the hospital setting, up to two thirds of patients have a serious underlying brain disorder...
September 2002: Neurologist
F Roumen
NuvaRing is a novel combined contraceptive vaginal ring that releases 15 microg of ethinylestradiol and 120 microgram etonogestrel per day. Each ring is used for one cycle, comprising 3 weeks continuous use of the ring followed by a 1-week ring-free period. The contraceptive efficacy and safety of NuvaRing have been studied in a 1-year, open study conducted in 1,145 women. Six pregnancies occurred in 12,109 cycles of exposure, giving a Pearl index of 0.65 (95% confidence interval (CI), 0.24-1.41). However, three of the six women violated the NuvaRing regimen in the cycle of conception...
December 2002: European Journal of Contraception & Reproductive Health Care
L A Levine, K C Latchamsetty
Erectile dysfunction (ED) has frequently been associated with Peyronie's Disease (PD) and may further compromise coitus. This is a retrospective analysis of ED in patients with PD since the release of sildenafil citrate (SC) focusing specifically on our patients' responses to SC. One-hundred seventy six patients with PD were evaluated between April 1998 and May 2001. All patients received a complete medical and sexual history, physical exam, penile duplex ultrasound (PDU, with 30-90 mg of papaverine) to assess penile vascular integrity, plaque dimensions, and erect penile deformity...
December 2002: International Journal of Impotence Research
(no author information available yet)
No abstract text is available yet for this article.
March 2002: Headache
Luis C Alvaro, Imanol Iriondo, Francisco J Villaverde
Sexual headaches usually develop during orgasm. Stroke complicating is rare. We report the case of a young man and heavy cannabis smoker who suffered posterior cerebral artery infarction during his first episode of coital headache.
March 2002: Headache
Iftah Biran, Israel Steiner
No abstract text is available yet for this article.
February 12, 2002: Neurology
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