In some cases, to initiate actions leading to sexual intercourse or, worse, at the right time of orgasm appears inappropriate, severe headache that surprises and frightens the person who has it. It’s called “headache associated with sexual activity.”

This is not a very common ailment. According to several international surveys, there is only 1% of people at some time in their lives, predominantly in young men but also can get them, to a lesser extent, adolescents or women. And not only appears to keep sex with a partner, you can also surprise you masturbate alone.

This headache led to many speculations about possible causes psychological, who traveled all the theories ranging from sin to the subconscious sense of guilt. However, it is a medical issue to be discussed seriously, although it is generally benign, could be announcing a severe impairment and that 5% of people are carriers of a vascular malformation in her brain (for example, aneurysm ), which constitutes a threat. In fact, some researchers say that 11% of cerebral hemorrhages occur during orgasm.

Headaches related to sexual activity can also occur during the “romp” preliminary. So called “preorgasmic headaches” and are not as ominous. But sometimes occur during orgasm as a “ray” are sudden, severe, causing much fear can alter consciousness, lasting minutes or continue for hours and can be repeated in sex the next few days.

These “orgasmic headache” are more common in men 25 to 45 years and should always be studied with images (magnetic resonance imaging of brain with magnetic resonance angiography program of cephalic and neck vessels) to rule out cerebral circulatory compromise, not only breaking aneurysm but also the narrowing of cerebral vessels, which can last hours or days to be reversible.

In recent years there appeared another provocative cause of these headaches: sildenafil, a vasoactive substance consumed to solve erectile dysfunction can cause severe headache, especially if you have a history of migraines.

Headache during sexual activity is benign in most cases, usually short-lived and requires no medication, but this is very variable and there is 15% of patients in whom the pain lasts 4 to 24 hours and must be medicated. It is also closely related to muscle spasms and stress, which may be exacerbated in the imminence of a sexual relationship, which is not always the actors involved in peace and relaxed mood. Maybe so prevalent in young men who undertake this task with a spirit of competition and, in turn, with a fear of not having an excellent performance for their patterns often too demanding. The fact that 3 out of 4 cases are young men oriented toward the theory that points to a vascular reaction or exaggerated muscle.

With respect to treatment, we first need to transmit confidence to the plaintiff, counsel to undertake this activity in a conducive environment and an atmosphere of tranquility and pleasure-seeking.

From the pharmacological standpoint, it appears that indomethacin is the most effective treatment in both the crisis and prevention, as well as triptans.

Dr. Hector A. Zavala

There are more than 600 neurological disorders. The most recognized include:

* Diseases caused by defective genes, such as Huntington’s disease and muscular dystrophy

* Problems with nervous system development, such as spina bifida

* Degenerative disease in which nerve cells are damaged or die, such as Parkinson’s and Alzheimer’s disease

* Diseases of the blood vessels supplying the brain, such as stroke

* Injuries to the spinal cord and brain

* Seizure disorders such as epilepsy

* Cancer, such as brain tumors

* Infections such as meningitis

In many cases, the apnea test can be completed successfully. In those who could not successfully carry out other tests are required to confirm brain death.

To determine this result performed a detailed review of 228 patients who were declared brain dead at the Mayo Clinic between 1996 and 2007.

Most of these cases were the result of a traumatic brain injury (32%) or intracerebral hematoma, or aneurysmal subarachnoid hemorrhage (39%).

Brain death was declared within 24 hours after admission in 69 patients (30%), 1 to 2 days after admission in 47 patients (21%), between day 2 and 3 in 26 patients (11 %), and after three days in 86 patients (38%).

The proof of apnea can not be done in 16 patients because haemodynamic instability or poor oxygenation at baseline.

Traumatic brain injury in patients with multiple trauma were more significant for patients who could not perform, or in which they had to stop, the apnea test than those who could complete the test.

The treadmill training with or without partial suspension system achieves a positive weight on the role and spatial parameters of gait in children with cerebral palsy (ICP) and also seems to cause no adverse events.

However, in comparison with other methods of physical therapy, placebo or no treatment, the results of this study are, in most cases, not significant.

In this article, published in Journal of Neurology, included the results of randomized controlled trials or non-randomized controlled trials but autoemparejados from various databases.

Specifically, it included six articles and 127 participants were recruited.

In the systematic review the authors found some limitations that require careful reading of the information provided.

Of the constraints encountered, include the small number of items that recruit few patients, and in addition there is a large clinical diversity, many of these trials did not describe relevant data necessary for critical reading.

Patients with severe hypoactive delirium, characterized by a slowdown or lack of movement and apathy, are the worst survival rates for the next six months, regardless of illness suffered.

People with slightly hypoactive delirium are more likely to die than other patients with milder symptoms.

The study, published in the journal Psichosomatics, is the first to correlate the subtypes of delirium caracteríticas or the severity of the disease.

The four sub-types of delirium are normal hypoactive, hyperactive, and mixed types combining trade items hiccups and hyperactive.

By using two standard screening tools, the researchers examined whether the classic psychomotor subtypes of delirium are reflected in the severity of delirium. In addition, it examined whether the subtypes were able to predict mortality.

The caudal intralaminar nuclei (ILP) of the thalamus are excellent candidates for the investigation of cognitive processes on the core area of psychobiology and clinical neuroscience due to its neuroanatomic and neurophysiological features, and its functional implications.

Are important components of the so-called brain activation systems, such as the ascending reticular activating system and the system of the basal ganglia-thalamic-cortical.

Although considered as functionally homogeneous, non-specific action, anatomical and functional relationships regular processes allow them to attention, learning and memory.

Experimental studies show that lesions of the parafascicular nucleus of rodents or centromedian parafascicular complex of primates to interfere with the processes of care and decrease the ability of learning and memory in different types of tasks.

The fact that there was a significant loss of neurons in the nuclei ILP in some pathologies with cognitive impairment, such as diencephalic amnesia, dementia, Parkinson’s and Alzheimer’s disease and disorders of the states of consciousness, seems also participation in cognitive processes mentioned.

The MP is manifested by burning or tingling sensation unpleasant side or the outer thigh, never below the knee. This discomfort can be permanent and may worsen at night or when you are calmer, and although not disabling, can become very annoying.

The NFC is born of the union of several roots arising from the lumbar spine (L2L3) and running through the abdomen and pelvis from the most dorsal up to the groin, where does the NFC and its branches is given to the sensitivities of the lateral or outer thigh.

The NFC may be compressed by the uterus during pregnancy, especially in more advanced stages of pregnancy. Sometimes, in people who have risen sharply in weight, the NFC is compressed in its output in the groin, l which can also cause the symptoms of MP.

In many cases simply not managed to determine the cause of the MP, it will normally take about 3-6 months and then gradually disappear.

In some particular cases it is necessary to deepen the study with lower limb electromyography (nerve roots and to explore them one by one), CT or MRI of abdomen and pelvis to look for tumors that can compress the NFC in the trajectory and MRI of the lumbar spine when wants to rule out pathology column that can simulate a MP.

The treatment for pregnant women is waiting for delivery, after which symptoms usually improved completely. In overweight, lose weight, and the symptoms, drugs such as carbamazepine, amitriptyline, gabapentin, pregabalin, oxcarbazepine, Duloxetine, etc.

These drugs not only decrease the risk of a new cerebrovascular event, but also reduce the risk of coronary events, even in patients without history of cardiovascular disease.

This follows from the SPARCL study (Stroke Prevention by Aggressive Reduction in Cholesterol Levels) presented at the 15th European Stroke Conference in mid last year.

Statins have been used traditionally to normalize cholesterol levels in patients with dyslipidemia.

However, the evidence of this scientific work shows that the statin (Lipitor) has benefits beyond just reducing LDL “bad” or LDL, but even in patients with normal total cholesterol, this drug prevents the possibility of a new stroke or coronary event.

The high-dose drug was well tolerated by most patients and detected only a subtle increase in cerebral hemorrhages, which is far outweighed by the benefits of the drug.

The question one asks is whether this benefit is specific for Lipitor, or can be extrapolated to other statins that are in the market.

More likely is that this benefit is not exclusive to Lipitor, but the latter drug has the merit of having been made ua an interesting test in the SPARCL study.

This arrhythmia causes turbulence in the atrium or left atrium, which helps the formation of thrombi or clots that travel through the aorta to the brain, causing blockage of a cerebral artery and finally AC.

To prevent AC in patients with AF, can handle a blood thinner such as warfarin or acenocoumarol, or simply aspirin.

In under 75 years it is clear that thinner is better than aspirin in preventing AC in patients with AF. But over 75 years, the benefit is lower, increasing the risk of bleeding from anticoagulant, sometimes fatal.

The study BAFTA (Birmingham Atrial Fibrillation Treatment of the Aged) compared Warfarin versus aspirin in patients over 75 years with AF and showed that warfarin is superior to aspirin in the Stroke Prevention in Atrial Fibrillation, as long as they keep a good control of anticoagulation, which should be indicated by blood tests regularly calls the prescribing physician.

The results were published in the journal Lancet on August 11, 2007 and had previously been released in Glasgow, at the 16th European Stroke Conference in Glasgow, Scotland, where I was fortunate to attend.

On October 18, 2007 was published in the New England Journal of Medicine a double-blind study compared the effects of prednisone and acyclovir in Bell’s palsy or facial nerve palsy (PFP).

The study was conducted in Scotland led by Dr. Frank M. Sullivan, of the Scottish School of Primary Care at the University of Dundee, Scotland.

A 94.4% of patients receiving prednisone within 72 hours of the start of the PFP, had an excellent performance in following up to 9 months. 85.4% of those who received acyclovir had an excellent performance.

The group of patients who received placebo, was in 85.2% of the total recovery, almost the same percentage as the group with acyclovir.

It is clear from this study that only the Prednisone would be useful in early treatment of the PFP, and that Aciclovir alone or with prednisone, it would be useless.

Currently, the Cochrane Database, found no compelling evidence to support the use of either acyclovir or prednisone in patients with PFP.

Be at the discretion of the treating neurologist then, that drug (I) use in patients who consult within the first 72 hours after the start of the PFP.