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Related Experiment Video

Updated: Jun 30, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

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Published on: June 2, 2014

Bath-related headache: a case report.

¹Department of Clinical Medicine, Faculty of Medicine, University of Colombo, 25, Kynsey Road, Colombo, 00800, Sri Lanka. thashichang@gmail.com.

Journal of Medical Case Reports

|June 3, 2023

Summary

This summary is machine-generated.

Bath-related headache is a rare condition causing sudden, severe head pain after hot showers. This case highlights its occurrence in a Sri Lankan woman, successfully treated with nimodipine.

Keywords:

Asian Headache Hot water Thunderclap

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Area of Science:

Neurology
Primary Headache Disorders

Background:

Bath-related headache (BRH) is a rare primary headache disorder.
Characterized by abrupt onset, excruciating pain, predominantly in middle-aged Asian women after hot water exposure.
This report details the first case in a Sri Lankan woman.

Observation:

A 60-year-old Sri Lankan woman experienced severe holocephalic headache post-hot shower.
No associated symptoms like photophobia or nausea; no prior migraine history.
A similar episode occurred 2 years prior, also linked to hot water.

Findings:

Neurological exam, blood tests, and brain imaging were normal.
Standard analgesics were ineffective; headache resolved with nimodipine.
Headache recurred during a 2-year follow-up after avoiding hot showers.

Implications:

BRH is a thunderclap headache with a benign prognosis.
Awareness is crucial for differentiating BRH from subarachnoid hemorrhage.
Suggests inclusion in the International Classification of Headache Disorders.