İlyas ERTOK, Gülhan Kurtoğlu ÇELİK, Yavuz OTAL, Erkut EROL, Pervin SARIKAYA, Şervan GÖKHAN

Seksüel Aktivite Sonrası Şiddetli Başağrısını Olgu Sunumu ile Gözden Geçirme

Introduction: Sexual activity-related headache (SARH) is a benign cause of activity-related headaches, related to increasing intraabdominal pressure and arterial blood pressures. But, the pathophysiology is still unclear. More common in male patients with an average age of 40, its prevalence is 1% in the community. In this article, we presented a 24-year-old male who was diagnosed subarachnoid hemorrhage (SAH) after SARH. Case Report: A 24-year-old male was admitted to the emergency room for severe headache and vomiting after sexual intercourse. He had a history of pain in two sides of his head while in the orgasm period in previous sexual activities. But, he told that it was the first time he had severe headache, nausea, and vomiting. İn the history, he had no medication or disease but smoked 1 package of cigarettes every day and drank alcohol occasionally. Physical examination and vital signs were normal. After medical treatment, he underwent a CT scan of brain and was diagnosed with SAH and a 2.5X3.5 mm saccular aneurysm in the brain CT angiography (BTA). Conclusion: SARH is a rare and mostly benign condition. Therefore, patients suffering from headache should be questioned whether or not it is associated with sexual activity. Treatment options should be considered after exclusion of lethal secondary factors, such as SAH.

Anahtar Kelimeler:

exual intercourse, subarachnoid hemorrage, headache

Review of Severe Headache after Sexual Activity with a Case Presentation

Introduction: Sexual activity-related headache (SARH) is a benign cause of activity-related headaches, related to increasing intraabdominal pressure and arterial blood pressures. But, the pathophysiology is still unclear. More common in male patients with an average age of 40, its prevalence is 1% in the community. In this article, we presented a 24-year-old male who was diagnosed subarachnoid hemorrhage (SAH) after SARH.Case Report: A 24-year-old male was admitted to the emergency room for severe headache and vomiting after sexual intercourse. He had a history of pain in two sides of his head while in the orgasm period in previous sexual activities. But, he told that it was the first time he had severe headache, nausea, and vomiting. İn the history, he had no medication or disease but smoked 1 package of cigarettes every day and drank alcohol occasionally. Physical examination and vital signs were normal. After medical treatment, he underwent a CT scan of brain and was diagnosed with SAH and a 2.5X3.5 mm saccular aneurysm in the brain CT angiography (BTA). Conclusion: SARH is a rare and mostly benign condition. Therefore, patients suffering from headache should be questioned whether or not it is associated with sexual activity. Treatment options should be considered after exclusion of lethal secondary factors, such as SAH

Keywords:

Sexual intercourse, subarachnoid hemorrage, headache,

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