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Benign coital headache.

J R Ostergaard1, M Kraft

  • 1Department of Pediatrics A, University Hospital of Arhus, Denmark.

Cephalalgia : an International Journal of Headache
|December 1, 1992
PubMed
Summary
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Benign coital headache is distinct from serious conditions like aneurysm rupture. A co-occurring primary headache syndrome increases the risk of recurrent benign coital headaches.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Benign coital headache is a distinct primary headache disorder.
  • Understanding its natural history is crucial for differential diagnosis.

Purpose of the Study:

  • To investigate the long-term natural history of benign coital headache.
  • To identify factors associated with recurrence and distinguish it from secondary headaches.

Main Methods:

  • Retrospective study of patients diagnosed with benign coital headache between 1978-1991.
  • Follow-up ranged from six months to 14 years.
  • Analysis of recurrence patterns and associated primary headache syndromes.

Main Results:

  • 50% of patients experienced recurrent coital headaches.

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  • Recurrence was significantly associated with a concomitant primary headache syndrome (p < 0.001).
  • Headaches were typically isolated, without neurological deficits, distinguishing them from vascular emergencies.

    • Conclusions:

    • Benign coital headache can be reliably differentiated from headaches caused by cerebral aneurysm or arteriovenous malformation rupture.
    • The presence of a primary headache syndrome is a significant risk factor for coital headache recurrence.