Article Text

Download PDFPDF
A not so happy ending: coital cephalgia resulting from an acute non-traumatic intraparenchymal haemorrhage in a female with no comorbidities
  1. Hafez Mohammad Ammar Abdullah1,
  2. Uzma Ikhtiar Khan2,
  3. Ezza Tariq3 and
  4. Muhammad Omar4
  1. 1 Internal Medicine, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota, USA
  2. 2 Internal Medicine, Khyber Teaching Hospital, Peshawar, Pakistan
  3. 3 Internal Medicine, Nishtar Medical College and Hospital, Multan, Pakistan
  4. 4 Internal Medicine, Avera McKennan Hospital and University Health Center, Sioux Falls, South Dakota, USA
  1. Correspondence to Dr Hafez Mohammad Ammar Abdullah, ammar.abdullah{at}


A sexual headache or coital cephalgia is a headache associated with sexual activity and is a well-recognised condition. It is usually benign, primary and self-limiting. However, occasionally sexual headaches can result from more sinister causes. Intraparenchymal and subdural haemorrhages have been reported as secondary causes of sexual headaches. We present the case of a 61-year-old woman with no comorbidities who presented acutely with a sexual headache and vision loss, and was found to have an occipital and parietal intraparenchymal haemorrhage. She was normotensive and after extensive workup was found to have no predisposing condition for her haemorrhage. The patient had an uneventful recovery with physical rehabilitation and had regular follow-ups, with no residual weakness. She was in a completely normal state of health 1 year after her event, and continued to be off any medications.

  • stroke
  • neuroimaging
  • headache (including migraines)

Statistics from


  • Contributors HMAA and UIK were responsible for writing the case presentation and introduction. ET and MO were responsible for writing the discussion part.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.