Bob Johnson
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"Only the educated are free." -Epictetus
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Re: LOOKING FOR GUINEA PIGS "Dopamine Syndrome" Trials
Reply #30 - Nov 23rd, 2012 at 12:15pm
And there are a good many more reports to be had.....
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6.Neurologist. 2002 Sep;8(5):279-89. Causes and management of thunderclap headache: a comprehensive review. Linn FH, Wijdicks EF. SourceDepartment of Neurology, Central Military Hospital/University Medical Center, Utrecht, the Netherlands. f.h.h.linn@neuro.azu.nl
Abstract BACKGROUND: Thunderclap headache (or sudden severe headache) is an uncommon type of headache. Recognition and accurate diagnosis of this headache are important, because there is often a serious underlying brain disorder.
SUMMARY: In this article, causes and management of thunderclap headache are discussed. In the primary care setting, there is a serious cause in one third of patients, but in the hospital setting, up to two thirds of patients have a serious underlying brain disorder. Clues in history and physical examination can point to a possible serious underlying cause of thunderclap headache, such as subarachnoid hemorrhage, intracranial hematoma, or cerebral venous thrombosis. The remaining patients with thunderclap headache, however, have a primary headache disorder, such as migraine or (less frequently) tension headache with an unusual sudden onset, exertional headache, coital headache, cough headache, or CLUSTER HEADACHE. The concept of thunderclap headache as a distinct clinical entity is discussed, with implications for its evaluation. Present radiological techniques are reviewed with regard to their diagnostic utility in detecting a serious brain disorder.
CONCLUSIONS: Thunderclap headache is an uncommon type of headache, and a serious underlying cause should be excluded.
PMID:12803675 ============================= Zh Nevrol Psikhiatr Im S S Korsakova. 2003;103(10):21-5. [Headache caused by sexual activity]. [Article in Russian] Ekusheva EV, Filatova EG. Abstract Headache caused by sexual activity, or coital headache, is included in International headache classification (1988). The paper presents 19 cases (15 males, 4 females, mean age 34 years) examined by the authors. In 58% of the cases, headache developed before orgasm, in 26%--during orgasm and in 16%--after it. Duration of severe headache was from several to 15 min and of moderate one--up to 7 h. In total, disease lasted from 1 week to 8 years. Focal neurological symptoms were ========================== Headache. 2004 Mar;44(3):244-8. Cerebral vasospasm and headache during sexual intercourse and masturbatory orgasms. Valença MM, Valença LP, Bordini CA, da Silva WF, Leite JP, Antunes-Rodrigues J, Speciali JG. SourceDivision of Neurology and Neurosurgery, Department of Neuropsychiatry, CCS, Federal University of Pernambuco, Recife, PE, Brazil.
Abstract BACKGROUND: The pathophysiology of the explosive type of headache associated with sexual activity is not completely understood. Five reported cases of patients with thunderclap headache, precipitated by sexual activity, in association with concomitant cerebral arterial narrowing, were found in the literature. =============== 3.Ginekol Pol. 2005 Dec;76(12):995-9. [Primary headache associated with sexual activity]. [Article in Polish] Domitrz I. SourceKlinika Neurologii, Akademia Medyczna, Warszawa. domitrz@amwaw.edu.pl
Abstract Benign coital headache is known as a rare type of primary headache related to sexual activity. The pathogenesis of this type of headache remains unknown. Clinical manifestation is typical and connected with three phases of sexual activity. Coital cephalalgia is divided into two subtypes: preorgasmic and orgasmic headache. Some authors specifie the third type--postural type. Preorgasmic headache starts as a dull bilateral ache and increases with sexual excitement. Orgasmic headache has sudden, intense character and occurs at orgasm. Postural headache has been reported to develop after coitus. The author describes four cases of different types of sexual headache, which were effectively treated. Indomethacin was effective in all patients as direct treatment and propranolol was effective in patients to whom it was administrated as preventive treatment.
PMID:16566381[PubMed =================== 2.J Neurol Sci. 2008 Oct 15;273(1-2):142-3. Epub 2008 Jul 26. Recurrent emotion-triggered headache following primary headache associated with sexual activity. Kim HJ, Seo SY. SourceDepartment of Neurology, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, Republic of Korea. movement@ilsanpaik.ac.kr
Abstract We present a 44-year-old woman who was admitted to our hospital after three episodes of coital headache. Magnetic resonance imaging (MRI) and angiography (MRA) revealed no vascular abnormality. She was discharged with a diagnosis of primary headache associated with sexual activity (PHSA). Although she abstained from sexual activity after discharge, she experienced recurrent headaches several times a day, whenever there was a change in her emotional state. This case implies that emotional changes can trigger headache attacks during headache-prone state in PHSA.
PMID:18656903[PubMed -
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