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Primary yawning headache.

D E Jacome1

  • 1Department of Medicine, Franklin Medical Center, Greenfield, Masachusetts, USA. dj@crocker.com

Cephalalgia : an International Journal of Headache
|September 5, 2001
PubMed
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Recurrent severe headaches triggered by yawning can occur without an apparent cause. This primary yawning headache is chronic and benign, but must be differentiated from secondary causes.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Yawning-induced pain is recognized in conditions like cranial neuralgia and temporomandibular joint dysfunction.
  • Distinguishing primary yawning headache from secondary causes is clinically important.

Observation:

  • Three patients presented with recurrent, severe paroxysmal headaches exclusively triggered by yawning.
  • No patient had a history of migraine, and typical migraine triggers did not induce pain.
  • Associated symptoms varied, including peripheral neuropathy and, coincidentally, a pituitary adenoma.

Findings:

  • Cranial nerve testing and brain MRI were normal in most patients, indicating no clear underlying pathology.
  • The study describes primary yawning headache as a distinct clinical entity.
  • Pain was also triggered by eructation in one patient.

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Implications:

  • Primary yawning headache is a chronic, benign condition.
  • It is crucial to differentiate primary yawning headache from secondary causes that may require specific treatment.
  • Further research may elucidate the pathophysiology of this unique headache presentation.