Review of Severe Headache after Sexual Activity with a Case Presentation

Ertok, Ilyas; Çelik, Gülhan Kurtoğlu; Otal, Yavuz; Erol, Erkut; Sarikaya, Pervin; Gökhan, Şervan

doi:10.5152/jaemcr.2014.57704

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…Early recognition and neurovascular imaging are warranted. When HASA first occurs, it is critical to exclude secondary causes of headache, which include cerebral aneurysm [4,5], subarachnoid hemorrhage [6], cerebral artery dissection [7,8], reversible cerebral vasoconstriction [9], and cerebral ischemic or hemorrhagic stroke [9][10][11]. Two existing case reports describe secondary sexual headaches associated with unruptured, unilateral aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Recurrent, Severe Coital Headaches Associated With Bilateral Carotid Artery Aneurysms and the Effect of Endovascular Treatment

Martinez Arellano,

Lu,

Ishac

et al. 2024

Cureus

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Headaches are one of the most common chief complaints in the outpatient setting. Distinguishing between benign and life-threatening headaches can be difficult, particularly in the setting of a pre-existing history of headaches. Here, we present a 41-year-old female with a past medical history of migraines and uterine leiomyoma status post hysterectomy about nine months ago who presented to the clinic for severe coital headaches and worsening migraines starting eight months ago. Computer tomography angiogram (CTA) head and neck demonstrated bilateral para-ophthalmic internal carotid artery (ICA) aneurysms (right, 7.5, left 6 mm). A diagnostic cerebral angiogram (DSA) was subsequently done and confirmed the CTA findings. The patient underwent left and right flow-diverting stent placement two and four months later, respectively. One week after the right ICA stent placement, her headaches had improved to one to two times per week. At six months after the stent placement, she resumed her normal sex life and her migraines returned to baseline. Our case suggests that recurrent severe coital headaches are associated with bilateral carotid artery aneurysms. Thus, while assessing a patient with recurrent coital headaches, it is important to have a wide arsenal of differentials to rule out possibly catastrophic causes.

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Section: Discussionmentioning

confidence: 99%

Recurrent, Severe Coital Headaches Associated With Bilateral Carotid Artery Aneurysms and the Effect of Endovascular Treatment

Martinez Arellano,

Lu,

Ishac

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Two patients with isolated recurrent coital/exertional headaches ipsilateral to unruptured fusiform aneurysms of the vertebral artery were described [ 30 ]. Another report described a 24-year-old man who was admitted to the emergency department for severe headache and vomiting after sexual intercourse [ 31 ]. He had a history of bilateral headache during orgasms in previous sexual activities.…”

Section: Differential Diagnosismentioning

confidence: 99%

Headache Associated with Sexual Activity—A Narrative Review of Literature

et al. 2021

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Headache associated with sexual activity (HAWSA) has accompanied humanity since ancient times. However, it is only since the 1970s that it has become the subject of more extensive and detailed scientific interest. The purpose of this review is to provide an overview of the development of the concept of HAWSA, its clinical presentation, etiopathogenesis, diagnosis and treatment especially from the research perspective of the last 20 years. Primary HAWSA is a benign condition, whose etiology is unknown; however, at the first occurrence of headache associated with sexual activity, it is necessary to exclude conditions that are usually immediately life-threatening. Migraine, hypnic headache or hemicrania continua have been reported to co-occur with HAWSA, but their common pathophysiologic basis is still unknown. Recent advances in the treatment of HAWSA include the introduction of topiramate, progesterone, and treatments such as greater occipital nerve injection, arterial embolization, and manual therapy. Whether these new therapeutic options will stand the test of time remains to be seen.

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Review of Severe Headache after Sexual Activity with a Case Presentation

Cited by 2 publications

References 7 publications

Recurrent, Severe Coital Headaches Associated With Bilateral Carotid Artery Aneurysms and the Effect of Endovascular Treatment

Recurrent, Severe Coital Headaches Associated With Bilateral Carotid Artery Aneurysms and the Effect of Endovascular Treatment

Headache Associated with Sexual Activity—A Narrative Review of Literature

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