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| | Headache TC12 |
 | | Five reported cases ofpatients with thunderclap headache, precipitated by sexual activity, in associationwith concomitant cerebral arterial narrowing, were found in the literature.METHODS: A 44-year-old woman with both coital and masturbatory headachesduring orgasm associated with segmental reversible cerebral artery vasospasmwas investigated. |
 | | Clues in history and physical examination canpoint to a possible serious underlying cause of thunderclap headache, suchas subarachnoid hemorrhage, intracranial hematoma, or cerebral venous thrombosis.The remaining patients with thunderclap headache, however, have a primaryheadache disorder, such as migraine or (less frequently) tension headachewith an unusual sudden onset, exertional headache, coital headache, coughheadache, or cluster headache. |
 | | The concept of thunderclap headache as a distinctclinical entity is discussed, with implications for its evaluation. |
| www.soto-usa.org /SOTLiterature/Headache/HeadacheTC12.htm (3802 words) |
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