Exertional reversible cerebral vasoconstriction responsive to verapamil.
We present a case of a 25-year-old male with severe headaches associated with exertion and sexual intercourse with vasoconstriction on magnetic resonance and CT angiograms done during his typical headaches. The headache syndrome and angiographic findings resolved after starting low-dose verapamil. Perhaps, some cases of primary exertional and primary headaches associated with sexual activity are associated with reversible cerebral vasoconstriction responsive to calcium channel blockers.
Theeler
Brett J
BJ
Department of Medicine/Neurology Service, William Beaumont Army Medical Center, Medical Corps, United States Army, 5005 N. Piedras, Fort Bliss, El Paso, TX 79920, USA. btheeler@hotmail.com
Krasnokutsky
Michael V
MV
Scott
Beverly R
BR
D000328:Adult; D002121:Calcium Channel Blockers / Q000008:administration & dosage*; D002560:Cerebrovascular Circulation / Q000187:drug effects*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D005082:Physical Exertion / Q000187:drug effects / Q000502:physiology; D020018:Sexual Dysfunctions, Psychological / Q000188:drug therapy / Q000503:physiopathology; D013577:Syndrome; D014661:Vasoconstriction / Q000187:drug effects*; D014700:Verapamil / Q000008:administration & dosage*
D002121:Calcium Channel Blockers; D014700:Verapamil