title: Bath-related thunderclap headache: Case report of a male patient.
abstract: Bath-related thunderclap headache (BRTH) is a rare entity, closed to reversible cerebral vasoconstriction syndrome. It is only described in middle-aged women and mainly Asiatic ethnic origins. Role of estrogen is consequently discussed. We report here a case of a 36-year-old man, admitted for five episodes of thunderclap headaches, triggered by hot shower. This is the first male case of BRTH, opposing only a hormonal hypothesis. Furthermore, this African patient consolidates the non-exclusivity of this affection to Asian ethnic origins.
authors.affiliation: Department of Neurology, Rouen University Hospital, Rouen, France.
authors.forename: Lou
authors.initials: L
authors.lastname: Grangeon
authors.affiliation: Department of Neurology, Rouen University Hospital, Rouen, France.
authors.forename: Gulden
authors.initials: G
authors.lastname: Ozel
authors.affiliation: Department of Neurology, Rouen University Hospital, Rouen, France.
authors.forename: Evelyne
authors.initials: E
authors.lastname: Guégan-Massardier
authors.affiliation: Department of Neurology, Rouen University Hospital, Rouen, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Lefaucheur
mesh_terms: D000328:Adult; D000639:Amitriptyline / Q000627:therapeutic use; D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use; D001494:Baths / Q000009:adverse effects*; D051270:Headache Disorders, Primary / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male
chemical_list: D018712:Analgesics, Non-Narcotic; D000639:Amitriptyline
keywords: bath-related headache; reversible cerebral vasoconstriction syndrome; thunderclap headache