• Headache · Jul 2004

    Case Reports

    Orgasmic headache with transient basilar artery vasospasm.

    • Daniel Schlegel and Brett Cucchiara.
    • Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, USA.
    • Headache. 2004 Jul 1;44(7):710-2.

    AbstractA 36-year-old man without significant past medical history presented with recurrent explosive headache at the time of orgasm. Magnetic resonance angiography showed focal mid-basilar artery narrowing. Despite receiving no specific therapy, the patient's headaches and vascular narrowing had resolved completely on follow-up six months later. While a number of pharmacologic agents have been proposed to be of benefit in orgasmic headache, this case suggests that spontaneous resolution may also occur.

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