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Delasobera BE et al. – The cause of headaches related to sexual activity range from the benign to the life–threatening. Due to the dynamics of cerebral blood flow during sexual intercourse, basilar artery dissections and aneurysms should be considered in patients with sudden–onset headaches during orgasm. Appropriate brain imaging and, possibly, lumbar puncture may assist in identifying potentially life–threatening causes of coital headaches.

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