Abstract
A patient with a 20 year history of primary orgasmic headache is described who, after suffering an unusually severe episode of orgasmic headache was found to have a middle cerebral artery dissection. This unusual association of primary and secondary orgasmic headache emphasises the need for a thorough diagnostic examination when the orgasmic headache differs from that of previous episodes or is associated with neurological symptoms.
MeSH terms
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Adult
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Aortic Dissection / complications*
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Aortic Dissection / diagnosis
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Aortic Dissection / drug therapy
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Brain / drug effects
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Brain / pathology
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Cerebral Angiography / drug effects
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Diagnosis, Differential
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Drug Therapy, Combination
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Follow-Up Studies
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Headache / diagnosis
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Headache / drug therapy
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Headache / etiology*
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Humans
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Imaging, Three-Dimensional
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Intracranial Aneurysm / complications*
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Intracranial Aneurysm / diagnosis
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Intracranial Aneurysm / drug therapy
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Male
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Neurologic Examination / drug effects
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Perindopril / administration & dosage
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Propranolol / administration & dosage
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Sexual Dysfunctions, Psychological / diagnosis
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Sexual Dysfunctions, Psychological / etiology*
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Tomography, X-Ray Computed