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Complicated coital cephalalgia. Three cases with benign evolution.

J M Martinez1, C Roig, A Arboix

  • 1Neurology Service, Hospital Sta Creu i Sant Pau, Autonomous University, Barcelona, Spain.

Cephalalgia : an International Journal of Headache
|December 1, 1988
PubMed
Summary
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Coital cephalalgia, a type of orgasm-induced headache, can present with vertebrobasilar deficiency signs. This study suggests a benign form of this condition, likely due to temporary blood flow changes during orgasm.

Area of Science:

  • Neurology
  • Vascular Neurology
  • Neuroscience

Background:

  • Coital cephalalgia is a primary headache associated with sexual activity.
  • Vertebrobasilar deficiency can manifest with various neurological symptoms.
  • Migraine history is common in patients experiencing coital headaches.

Observation:

  • Three patients presented with coital cephalalgia and signs of vertebrobasilar deficiency.
  • Extensive investigations, including angiography, ruled out vascular malformations.
  • Literature review revealed few similar cases.

Findings:

  • The presented cases suggest a benign, albeit complicated, form of coital cephalalgia.
  • The headaches may stem from transient ischemic disturbances.
  • Hemodynamic shifts during orgasm are implicated as the trigger.

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Implications:

  • This benign form of coital cephalalgia requires careful diagnosis to avoid unnecessary interventions.
  • Understanding the role of hemodynamic changes in orgasm is crucial.
  • Further research into the pathophysiology of orgasm-induced headaches is warranted.