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Orgasmic migraine aura: Report of two cases
Heather Angus-Leppan1,2,3, Alice Caulfield4
11 Clinical Neurosciences, Royal Free London NHS Foundation Trust, London, UK.
Cephalalgia : an International Journal of Headache
|April 24, 2018
Summary
Sex-related neurological symptoms can cause anxiety. We describe acephalgic orgasmic migraine aura, a condition not currently recognized, in two patients.
Area of Science:
- Neurology
- Neuroscience
Background:
- Paroxysmal neurological symptoms during sexual activity can cause significant anxiety.
- Thunderclap headache is a well-known symptom requiring urgent investigation for serious pathologies like subarachnoid hemorrhage.
- Many sex-related headaches are primary and diagnosed after excluding other causes.
Observation:
- This report details two patients presenting with acephalgic orgasmic neurological symptoms.
- These symptoms met the diagnostic criteria for migraine aura.
Findings:
- Acephalgic orgasmic migraine aura is not currently a recognized clinical entity.
- The incidence of this condition remains unknown.
Implications:
- Acephalgic orgasmic migraine aura should be considered in the differential diagnosis of paroxysmal sex-related neurological symptoms.
- Clinical differentiation from fixed deficits, reversible cerebral vasoconstriction syndrome, and post-orgasmic illness syndrome is crucial.
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