与性行为相关的原发性头痛：病例报告。
Primary headache associated with sexual activity: case report.
机构信息
Neurology Clinic, Kahramanmaras Necip Fazil City Hospital, Kahramanmaras, Turkey.
出版信息
Med Princ Pract. 2013;22(6):588-9. doi: 10.1159/000350415. Epub 2013 May 3.
Abstract
OBJECTIVES
To present a rare case of primary headache associated with sexual activity.
CLINICAL PRESENTATION AND INTERVENTION
A 48-year-old man presented with a severe headache during sexual intercourse, particularly at the time of orgasm. A diagnosis of type 2 primary headache associated with sexual activity was made, and he was started on indomethacin 25 mg to be taken 30 min before intercourse and propranolol 40 mg twice a day, following which he noted a dramatic improvement within in a week.
CONCLUSIONS
The case highlights the importance of paying attention to the differential diagnosis. For this patient, prophylactic treatment with beta-blockers and/or preemptive therapy with indomethacin was successful.
摘要
目的
介绍一例与性行为相关的原发性头痛。
临床特征和干预措施
一名 48 岁男性在性交过程中出现严重头痛，特别是在性高潮时。诊断为 2 型与性行为相关的原发性头痛，给予吲哚美辛 25mg，在性交前 30 分钟服用，普萘洛尔 40mg，每日两次，一周内头痛显著改善。
结论
该病例强调了鉴别诊断的重要性。对于该患者，β受体阻滞剂预防治疗和/或吲哚美辛预先治疗是成功的。
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