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Primary sex headache in adolescents
Amy A Gelfand1, Peter J Goadsby
1aDivision of Child NeurologyUniversity of California, San Francisco, California, 94115, USA. gelfanda@neuropeds.ucsf.edu
Primary sex headache, a rare condition in adolescents, presents as a thunderclap headache but is benign and treatable with indomethacin. Pediatricians should be aware of this diagnosis for proper management.
Area of Science:
- Neurology
- Adolescent Medicine
Background:
- Primary headache associated with sexual activity is a rare disorder.
- It has been previously reported only twice in adolescents.
Observation:
- This report details two new cases of primary sex headache in adolescents.
- The condition mimics serious causes of thunderclap-onset headache.
Findings:
- Primary sex headache is benign and self-limited.
- It shows high responsiveness to indomethacin treatment.
Implications:
- Pediatric providers need to recognize this condition during adolescent sexual development.
- Awareness aids in appropriate diagnostics and therapy for primary sex headache.
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