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Orgasmic Headache With Transient Basilar Artery Vasospasm
Author(s) -
Schlegel Daniel,
Cucchiara Brett
Publication year - 2004
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2004.04131.x
Subject(s) - medicine , basilar artery , headaches , vasospasm , magnetic resonance imaging , magnetic resonance angiography , orgasm , migraine , digital subtraction angiography , anesthesia , angiography , radiology , subarachnoid hemorrhage , cardiology , surgery , sexual dysfunction
A 36‐year‐old man without significant past medical history presented with recurrent explosive headache at the time of orgasm. Magnetic resonance angiography showed focal mid‐basilar artery narrowing. Despite receiving no specific therapy, the patient's headaches and vascular narrowing had resolved completely on follow‐up six months later. While a number of pharmacologic agents have been proposed to be of benefit in orgasmic headache, this case suggests that spontaneous resolution may also occur.