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Exertional reversible cerebral vasoconstriction responsive to verapamil

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Abstract

We present a case of a 25-year-old male with severe headaches associated with exertion and sexual intercourse with vasoconstriction on magnetic resonance and CT angiograms done during his typical headaches. The headache syndrome and angiographic findings resolved after starting low-dose verapamil. Perhaps, some cases of primary exertional and primary headaches associated with sexual activity are associated with reversible cerebral vasoconstriction responsive to calcium channel blockers.

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Authors and Affiliations

  1. Department of Medicine/Neurology Service, William Beaumont Army Medical Center, Medical Corps, United States Army, 5005 N. Piedras, Fort Bliss, El Paso, TX, 79920, USA

    Brett J. Theeler

  2. Department of Radiology, Madigan Army Medical Center, Medical Corps, United States Army, Fort Lewis, WA, USA

    Michael V. Krasnokutsky

  3. Department of Medicine/Neurology Service, Madigan Army Medical Center, Medical Corps, United States Army, Fort Lewis, WA, USA

    Beverly R. Scott

Authors
  1. Brett J. Theeler
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  2. Michael V. Krasnokutsky
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  3. Beverly R. Scott
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Corresponding author

Correspondence to Brett J. Theeler.

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The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

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Theeler, B.J., Krasnokutsky, M.V. & Scott, B.R. Exertional reversible cerebral vasoconstriction responsive to verapamil. Neurol Sci 31, 773–775 (2010). https://doi.org/10.1007/s10072-010-0226-4

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  • DOI: https://doi.org/10.1007/s10072-010-0226-4

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