title: Recurrent emotion-triggered headache following primary headache associated with sexual activity.
abstract: 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.
authors.affiliation: Department of Neurology, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, Republic of Korea. movement@ilsanpaik.ac.kr
authors.forename: Han-Joon
authors.initials: HJ
authors.lastname: Kim
authors.forename: So-Young
authors.initials: SY
authors.lastname: Seo
mesh_terms: D000328:Adult; D004644:Emotions; D005260:Female; D006261:Headache / Q000503:physiopathology* / Q000523:psychology*; D006801:Humans; D012725:Sexual Behavior / Q000502:physiology*