title: Orgasmic headache treated with nimodipine.
abstract: BACKGROUND
  Orgasmic headache (OH) is a sudden and severe headache that occurs at the time of or shortly after an orgasm. AIM.: We present the case of typical primary headache associated with sexual activity, especially during an orgasmic period.
  
  
  METHODS
  A 34-year-old man complained of sudden and severe headache during sexual activity, or orgasmic period, for 2 months. The headache developed abruptly with an orgasm and then decreased shortly over a period of 4 ≈ 8 hours.
  
  
  RESULTS
  Magnetic resonance angiography revealed severe spasm of the M1 segment of both the middle cerebral arteries. He was treated with oral nimodipine (30 mg every 8 hours), which alleviated the headache and prevented its recurrence.
  
  
  CONCLUSIONS
  We postulated a pathophysiological relationship between OH and migraine, especially with respect to vasoconstriction, and believe that in such cases, nimodipine may be an effective therapy.
authors: Department of Urology, Wonkwang University School of Medicine, Iksan, Korea.
authors: Jea Whan
authors: JW
authors: Lee
authors: Yeon Soo
authors: YS
authors: Ha
authors: Seung Chol
authors: SC
authors: Park
authors: Ill Young
authors: IY
authors: Seo
authors: Hak Seung
authors: HS
authors: Lee
mesh_terms: D000328:Adult; D002121:Calcium Channel Blockers / Q000627:therapeutic use*; D002536:Cerebral Arteries / Q000503:physiopathology; D006261:Headache / Q000188:drug therapy* / Q000209:etiology*; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008881:Migraine Disorders / Q000188:drug therapy* / Q000209:etiology*; D009553:Nimodipine / Q000627:therapeutic use*; D009948:Orgasm / Q000502:physiology*; D012008:Recurrence; D012725:Sexual Behavior; D016896:Treatment Outcome; D014661:Vasoconstriction
chemical_list: D002121:Calcium Channel Blockers; D009553:Nimodipine
keywords: Headache; Nimodipine; Post-Orgasm Illness