Article Text

Orgasmic headache and middle cerebral artery dissection
  1. Z Szatmary1,2,
  2. M Boukobza1,
  3. K Vahedi2,
  4. C Stapf2,
  5. E Houdart1,
  6. M G Bousser2
  1. 1Department of Neuroradiology,Hospital Lariboisière, Paris, France
  2. 2Department of Neurology Hospital Lariboisière
  1. Correspondence to:
 Dr Z Szatmary
 Department of Neurology and Neuroradiology, Hôpital Lariboisière, 2 rue Ambroise Paré cedex 10, Paris, France; zoltan.szatmary{at}


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.

  • OH, orgasmic headache
  • MRI, magnetic resonance imaging
  • SAH, subarachnoid haemorrhage
  • MRA, magnetic resonance angiography
  • MCA, middle cerebral artery
  • dissecting aneurysm
  • middle cerebral artery
  • orgasmic headache
  • digital substraction angiography
  • magnetic resonance angiography

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  • Funding: none

  • Competing interests: none declared

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