title: Orgasmic headache and middle cerebral artery dissection.
abstract: A patient with a 20 year history of primary orgasmic headache is described who, after suffering an unusually severe episode of orgasmic headache was found to have a middle cerebral artery dissection. This unusual association of primary and secondary orgasmic headache emphasises the need for a thorough diagnostic examination when the orgasmic headache differs from that of previous episodes or is associated with neurological symptoms.
authors.affiliation: Department of Neurology and Neuroradiology, Hôpital Lariboisière, 2 rue Ambroise Paré cedex 10, Paris, France. zoltan.szatmary@lrb.aphp.fr
authors.forename: Z
authors.initials: Z
authors.lastname: Szatmary
authors.forename: M
authors.initials: M
authors.lastname: Boukobza
authors.forename: K
authors.initials: K
authors.lastname: Vahedi
authors.forename: C
authors.initials: C
authors.lastname: Stapf
authors.forename: E
authors.initials: E
authors.lastname: Houdart
authors.forename: M G
authors.initials: MG
authors.lastname: Bousser
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D001921:Brain / Q000187:drug effects / Q000473:pathology; D002533:Cerebral Angiography / Q000187:drug effects; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006261:Headache / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009460:Neurologic Examination / Q000187:drug effects; D020913:Perindopril / Q000008:administration & dosage; D011433:Propranolol / Q000008:administration & dosage; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed
chemical_list: D011433:Propranolol; D020913:Perindopril