Pre-orgasmic or orgasmic, a subarachnoid hemorrhage or arterial dissection should be investigated during the first attacks. Pre-orgasmic: Diffuse, dull bilateral headache, associated with muscle contraction (neck, jaws). occurring during and increasing with sexual arousal. It
It is very rare. It mainly affects women. The pain is moderate to severe. Bilateral, diffuse. It lasts from 30 minutes to 3 hours. Sensation of pressure, sometimes pulsating constriction. Awakening caused by headache. almost
It is a severe headache, of sudden onset, with a maximum reached in less than 1 minute, it lasts from 1 hour to 10 days and does not recur regularly. Requires extensive investigations because it
She must rule out cerebral hemorrhage or arterial dissection of the vessels of the head. The diagnostic criteria for IHS are: A-Pulsatile fulfilling criteria B and C B- Lasting from 5 min to 48 h
Diagnostic criteria: A. headache fulfilling criteria B,C,D B. brutal, lasting 1sec to 30 minutes C. caused by coughing and/or Valsalva (blocked forced expiration), D. not attributed to another condition. Before being called primary, we must
These are very specific, rare headaches, the treatment of which is poorly understood. A diagnostic assessment (brain MRI) is necessary to confirm their primary nature. these are: (alongside the duration of the crisis is noted)