Sequential Benign Sexual Headache and Exertional Headache

Edis, R. H.; Silbert, Peter L.

doi:10.1016/s0140-6736(88)91806-5

Cited by 14 publications

(8 citation statements)

References 4 publications

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“…Primary benign headaches are usually self-limiting, but occasionally can become a chronic recurrent problem. Different treatment options have been tried with variable efficacy, including triptans, nonsteroidal anti-inflammatory drugs (NSAIDs) and prophylaxis with a beta-blocker or calcium channel blocker 9 10 16 23–25. However, in some cases, unfortunately, abstinence is the only option 26.…”

Section: Discussionmentioning

confidence: 99%

A not so happy ending: coital cephalgia resulting from an acute non-traumatic intraparenchymal haemorrhage in a female with no comorbidities

Abdullah¹,

Khan

Tariq

et al. 2019

BMJ Case Rep

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A sexual headache or coital cephalgia is a headache associated with sexual activity and is a well-recognised condition. It is usually benign, primary and self-limiting. However, occasionally sexual headaches can result from more sinister causes. Intraparenchymal and subdural haemorrhages have been reported as secondary causes of sexual headaches. We present the case of a 61-year-old woman with no comorbidities who presented acutely with a sexual headache and vision loss, and was found to have an occipital and parietal intraparenchymal haemorrhage. She was normotensive and after extensive workup was found to have no predisposing condition for her haemorrhage. The patient had an uneventful recovery with physical rehabilitation and had regular follow-ups, with no residual weakness. She was in a completely normal state of health 1 year after her event, and continued to be off any medications.

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Section: Discussionmentioning

confidence: 99%

A not so happy ending: coital cephalgia resulting from an acute non-traumatic intraparenchymal haemorrhage in a female with no comorbidities

Abdullah¹,

Khan

Tariq

et al. 2019

BMJ Case Rep

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show abstract

“…5,31,35,36 Options for long-term prophylaxis include indomethacin 25 mg 3 times daily, propranolol 120-240 per day, metoprolol 100-200 mg per day, and diltiazem 180 mg per day. 15,17,30,31,33,37 CONCLUSIONS Headache occurring during sexual activity can be frightening. Once serious secondary causes have been excluded, these disorders are generally self-limited and/or readily manageable.…”

Section: Treatmentmentioning

confidence: 99%

Resident and Fellow Section

Levin

2008

Headache

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“…In several cases, recurrence has been reported when patients resumed sexual activity shortly after an attack (Lance 1976;Porter & Jankovic 1981;Edis & Silbert 1988;Kim 1992). Therefore it seems reasonable to advise the patients to remain sexually inactive as much as possible until they are completely free of symptoms.…”

Section: Education and Informationmentioning

confidence: 99%

“…For patients with longer lasting bouts, or with repeated attacks, longer term prophylactic treatment with propranolol can be successful (between 60 and 240 mg daily) (Porter & Jankovic 1981;Johns 1986;Edis & Silbert 1988;Pascual et al 1996;Frese et al 2004). However, there EDITORIAL COMMENT: WHAT'S IN A NAME?…”

Section: Education and Informationmentioning

confidence: 99%