Case 248 · ICHD-3 4.3

4.3 Primary headache associated with sexual activity

Origin

Synthetic

Language

English — also available in German

Contributed by

Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)

Anamnesis

A 45-year-old male reports experiencing sudden and explosive pain in the occipital region at the moment of orgasm, lasting for 30 minutes. There is no aura or associated symptoms. Laboratory tests and neuroimaging, including cerebral angiography, show no abnormalities.

Report this case — e.g. suspected re-identification risk.