From the Department of Neurology, University of Pennsylvania Medical Center, Philadelphia, PA.
Orgasmic Headache With Transient Basilar Artery Vasospasm
Article first published online: 18 JUN 2004
Headache: The Journal of Head and Face Pain
Volume 44, Issue 7, pages 710–712, July 2004
How to Cite
Schlegel, D. and Cucchiara, B. (2004), Orgasmic Headache With Transient Basilar Artery Vasospasm. Headache: The Journal of Head and Face Pain, 44: 710–712. doi: 10.1111/j.1526-4610.2004.04131.x
- Issue published online: 18 JUN 2004
- Article first published online: 18 JUN 2004
- Accepted for publication February 23, 2004.
A 36-year-old man without significant past medical history presented with recurrent explosive headache at the time of orgasm. Magnetic resonance angiography showed focal mid-basilar artery narrowing. Despite receiving no specific therapy, the patient's headaches and vascular narrowing had resolved completely on follow-up six months later. While a number of pharmacologic agents have been proposed to be of benefit in orgasmic headache, this case suggests that spontaneous resolution may also occur.