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Orgasmic headache and middle cerebral artery dissection

¹ Department of Neuroradiology,Hospital Lariboisière, Paris, France
² Department of Neurology Hospital Lariboisière

Correspondence to:
Correspondence to:
Dr Z Szatmary
Department of Neurology and Neuroradiology, Hôpital Lariboisière, 2 rue Ambroise Paré cedex 10, Paris, France; zoltan.szatmary{at}lrb.aphp.fr

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.

Abbreviations: OH, orgasmic headache; MRI, magnetic resonance imaging; SAH, subarachnoid haemorrhage; MRA, magnetic resonance angiography; MCA, middle cerebral artery

Keywords: dissecting aneurysm; middle cerebral artery; orgasmic headache; digital substraction angiography; magnetic resonance angiography

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