• J Headache Pain · Dec 2011

    Case Reports

    Thunderclap headache triggered by micturition: responsive to nimodipine.

    • Yuan-Yuan Han, Wei Gui, Jin Zhu, Yi-Min Liu, Kai Wang, and Yu Wang.
    • Department of Neurology, The First Hospital of Anhui Medical University, Jixi Road 218, Hefei, 230022, China.
    • J Headache Pain. 2011 Dec 1;12(6):649-51.

    AbstractPrimary 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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