Pornography headache

•Pornographic headache results from visuoneural uncoupling.•Sexual-arousal-mediated vascular dysregulation causes the pain.•Indomethacin is beneficiary for pornographic headache. The headache associated with intercourse or masturbatory activity is a well-recognized clinical entity but pornography he...

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Bibliographic Details
Published in:Clinical neurology and neurosurgery 2018-01, Vol.164, p.11-13
Main Authors: Chen, Wei-Hsi, Chen, Kuo Yen, Yin, Hsin-Ling
Format: Article
Language:English
Subjects:
Adult
Arousal
Cerebrovascular system
Conflicts of interest
Erotic
Erotica
Eroticism
Gender identity
Headache
Headache - diagnostic imaging
Headache - etiology
Headaches
Heterosexual
Humans
Indomethacin
Male
Muscle contraction
Neurology
Nonsteroidal anti-inflammatory drugs
Pain
Pornography
Pornography & obscenity
Sexual activity
Sexual behavior
Sexual Behavior - physiology
Systematic review
Vasoconstriction
Veins & arteries
Velocity
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Summary:•Pornographic headache results from visuoneural uncoupling.•Sexual-arousal-mediated vascular dysregulation causes the pain.•Indomethacin is beneficiary for pornographic headache. The headache associated with intercourse or masturbatory activity is a well-recognized clinical entity but pornography headache is barely mentioned. We report a young man who suffered preorgasmic headache pertaining only to pornography of specific erotic contents but not to other sexual or nonsexual act. An antecedent activation of sexual arousal and vasoconstriction during pain were found. Finally, oral indomethacin favorably prevented the pain. Therefore, pornography headache is a distinguished headache disorder distinct from other sexual-related headache disorders. Sexual arousal-mediated cerebrovascular dysregulation consequence to visuoneural uncoupling in response to erotic stimulus is proposed. Pornography headache may be underestimated in population as pain-killer overuse may mask the actual incidence in real world.
ISSN:0303-8467
1872-6968
DOI:10.1016/j.clineuro.2017.10.026