Tuba ÖZCAN, Esra YANCAR DEMIR, Murat DOĞAN IŞCANLI

Primary headache associated with sexual activity: A case report

Tetikleyici faktörlerle ortaya çıkan baş ağrıları onyıllardır bilinmektedir. Birçok hastada, bu tür baş ağrıları altta yatan bir patolojiye sekonder olarak gelişmektedir. Ancak, bazı hastalarda herhangi bir sorun tespit edilememektedir. Seksüel aktiviteyle ilişkili primer baş ağrısı (SAPB) primer baş ağrılarının bir alt grubudur. SAPB selim bir başağrısıdır ve genel popülasyonda yaşam boyu prevelansı %1-1.6'dır. Otuz sekiz yaşında erkek hasta, 2 aydır olan cinsel aktivite sırasında ortaya çıkan ciddi baş ağrısı nedeniyle polikliniğimize başvurdu. Ağrısı orgazm sonrası her iki oksipital bölgede ortaya çıkıyor ve yaklaşık 2 saatte sonlanıyordu. Hastaya 40 mg/gün propranolol başlandı ve 2 hafta içinde dramatik şekilde düzelme bildirdi, tedaviye 6 ay devam edildi. Bir yıldır düzenli kontrollerine devam eden hastada yeniden baş ağrısı olmadı. Bu olguda nadir görülen SAPB ve düşük doz propranolol ile başarılı tedaviyi bildirmek istedik

Seksüel aktivite ile ilişkili primer baş ağrısı: Olgu sunumu

Headaches provoked by triggering factors have been recognized for many decades. In many cases, the development of such headaches is secondary to an underlying pathology. However, in some cases, no abnormality can be identified. Primary headache associated with sexual activity (PHASA) is one of the subgroups of primary headaches. PHASA is a benign form of headache and lifetime prevalence is estimated to be 1% to 1.6% in the general population. A 38-year-old man was admitted to outpatient clinic reporting history of severe headaches during sexual intercourse for the last 2 months. Headaches occurred bilaterally in occipital area just after orgasm and lasted for about 2 hours. Propranolol 40 mg/ day was initiated and on followup, patient reported dramatic improvement in 2 weeks. Treatment was maintained for 6 months. Patient has been on regular follow-up for a year and had no recurrence of headache. This is a rare case PHASA. In this patient, prophylactic treatment with low dosage of propranolol was successful

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