Focus on the management of thunderclap headache: from nosography to treatment

Ferrante, Enrico; Tassorelli, Cristina; Rossi, Paolo; Lisotto, Carlo; Nappi, Giuseppe

doi:10.1007/s10194-011-0302-z

Cited by 18 publications

(3 citation statements)

References 81 publications

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“…Efficacy of nimodipine was reported in primary TCH [ 12 ] as well as in primary bathing TCH [ 13 ] with vasospasm detected or non-detected. It has been suggested that primary recurrent TCH can be divided in two groups: one with diffuse vasospasm and the others without any visible vasospasm by MRA, and primary TCH, to some extent, share the same spectrum with reversible cerebral vasoconstriction syndrome (RCVS) based on their similar clinical features and the same rate of ischemic complications [ 14 , 15 ]. The therapeutic efficacy of nimodipine in vasospasm associated primary TCH and RCVS as well as in our micturitional headache may suggest a similar pathogenic mechanism of vasospasm for both conditions.…”

Section: Discussionmentioning

confidence: 99%

Thunderclap headache triggered by micturition: responsive to nimodipine

et al. 2011

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Primary thunderclap headache (TCH) is a rare condition, of which the onset can be triggered by coughing, exercise, and sexual activity. Micturition is a recognized trigger of secondary TCH with pheochromocytoma in bladder, but not of primary TCH. We describe a patient with an apparent primary TCH, which repeatedly occurred immediately after micturition until she achieved a therapeutic dosage of nimodipine.

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Section: Discussionmentioning

confidence: 99%

Thunderclap headache triggered by micturition: responsive to nimodipine

et al. 2011

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“…The management of thunderclap headache depends on the underlying etiology. Primary thunderclap headache has a relatively benign course even without specific management (70). Two prospective studies involving 89 patients with thunderclap headache after excluding SAH who were followed up for 1.7 to 3.3 years demonstrated a very good outcome (71,72).…”

Section: Treatment and Prognosismentioning

confidence: 99%

Update on primary headache associated with sexual activity and primary thunderclap headache

Lin

Chen

2023

Cephalalgia

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Background This narrative review aims to provide an update on primary headache associated with sexual activity and primary thunderclap headache. Methods We conducted a literature search on PubMed with the keywords “headache associated with sexual activity”, “sexual headache”, “orgasmic cephalalgia”, and “coital cephalalgia” in addition to “thunderclap headache” to assess the appropriateness of all published articles in this review. Results Primary headache associated with sexual activity is a “primary” headache precipitated by sexual activity, which occurs as sexual excitement increases (progressive at onset), or manifests as an abrupt and intense headache upon orgasm (thunderclap at onset) or combines these above two features. Primary headache associated with sexual activity is diagnosed after a thorough investigation, including appropriate neuroimaging studies, to exclude life-threatening secondary causes such as subarachnoid hemorrhage. According to the criteria of the third edition of the International Classification of Headache Disorders, primary thunderclap headache is also a diagnosis by exclusion. The pathophysiology of primary headache associated with sexual activity and primary thunderclap headache remains incompletely understood. Treatment may not be necessary for all patients since some patients with primary headache associated with sexual activity and primary thunderclap headache have a self-limiting course. Conclusion A comprehensive neuroimaging study is needed for distinguishing primary headache associated with sexual activity or primary thunderclap headache from secondary causes. Primary headache associated with sexual activity and primary thunderclap headache are self-limited diseases and the prognoses are good, but some patients with primary headache associated with sexual activity may have a prolonged course.

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“…Its mechanism of action is anti-inflammatory through reversible inhibition of cyclooxygenase (COX)-1 and -2, but it can inhibit nitric oxide release and decrease cerebral blood flow and cerebrospinal fluid pressure. 29 In case of contraindication to indomethacin or inadequate response, other drugs are used, such as melatonin, onabotulinumtoxin A, gabapentin and topiramate. 2…”

Section: Asaamentioning

confidence: 99%

Menstrually-related stabbing headache in a patient without migraine: case report

Valença

Silva‐Néto²

2022

Headache Med

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Introduction Stabbing headache is considered a primary headache and is a prevalent entity in the general population. Objective To present an unusual case of stabbing headache associated with menstruation. Method Data collected through complete anamnesis. Case report The authors report a case of a woman suffering from a stabbing headache which features that has not been previously described – a menstrual pattern in the presentation of stabbing headache attacks. Conclusions We conclude that this menstrual pattern of stabbing headache attacks is unusual in patients with primary stabbing headache and that it does not fulfil diagnostic criteria for migraine or tension-type headache.

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Focus on the management of thunderclap headache: from nosography to treatment

Cited by 18 publications

References 81 publications

Thunderclap headache triggered by micturition: responsive to nimodipine

Thunderclap headache triggered by micturition: responsive to nimodipine

Update on primary headache associated with sexual activity and primary thunderclap headache

Menstrually-related stabbing headache in a patient without migraine: case report

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