Bath-Related Headache

  • Aliza KumpinskyEmail author
  • Stephanie J. Nahas
Uncommon and/or Unusual Headaches and Syndromes (J Ailani, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Uncommon and/or Unusual Headaches and Syndromes


Purpose of Review

The purpose of this review is to summarize the most up-to-date literature on bath-related headache, a rare disorder.

Recent Findings

Initially described in middle-aged Asian women, it is now reported in a wider demographic. More information is available about the pathophysiology of bath-related headache, including its classification as a subtype of reversible cerebral vasoconstriction syndrome (RCVS). Nimodipine can be effective in patients both with and without vasospasm.


Bath-related headache is a rare form of thunderclap headache. Although its mechanism is still unclear, it is associated with vasospasm and RCVS. Controlled trials investigating the use of nimodipine and other agents may be useful in furthering our understanding of and treatment of this phenomenon.


Bath-related headache Thunderclap headache Reversible cerebral vasoconstriction syndrome (RCVS) 


Compliance with Ethical Standards

Conflict of Interest

Aliza Kumpinsky declares no conflict of interest. Dr. Nahas reports personal fees from Allergan, Amgen, electroCore, Ely Lilly, Avanir, and Supernus, all outside of the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major Importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Emory University School of MedicineAtlantaUSA
  2. 2.Headache Medicine Fellowship Program, Neurology Residency Program, Department of Neurology, Jefferson Headache CenterThomas Jefferson UniversityPhiladelphiaUSA

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