Orgasmic headache with transient basilar artery vasospasm.
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.
Schlegel
Daniel
D
Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, USA.
Cucchiara
Brett
B
D000328:Adult; D001488:Basilar Artery / Q000503:physiopathology*; D006261:Headache / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009948:Orgasm / Q000502:physiology*; D012008:Recurrence; D012075:Remission, Spontaneous; D020301:Vasospasm, Intracranial / Q000503:physiopathology*