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Related Experiment Videos

Primary cough headache.

Julio Pascual1

  • 1Service of Neurology, University Hospital Marqués de Valdecilla, 39008 Santander, Spain. juliopascual@telefonica.net

Current Pain and Headache Reports
|July 12, 2005
PubMed
Summary
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Primary cough headache is a rare, sudden head pain triggered by coughing. This condition, often affecting men over 50, requires imaging to rule out serious causes.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Primary cough headache is a distinct headache disorder.
  • It is triggered by Valsalva maneuvers, like coughing.
  • Its pathophysiology is currently unknown.

Purpose of the Study:

  • To define the clinical characteristics of primary cough headache.
  • To establish diagnostic criteria and differential diagnoses.
  • To highlight the importance of neuroimaging.

Main Methods:

  • Retrospective analysis of patients diagnosed with primary cough headache.
  • Clinical data collection including onset, duration, location, and triggers.
  • Review of neuroimaging findings, particularly craniocervical MRI.

Main Results:

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  • Primary cough headache is rare (0.4% of new headache cases).
  • Onset typically occurs after age 50, is more common in men, and presents as sudden, bilateral, posterior pain.
  • Pain duration ranges from seconds to 30 minutes and responds to indomethacin.

Conclusions:

  • Primary cough headache has specific clinical features aiding diagnosis.
  • Craniocervical MRI is essential to exclude structural lesions like Chiari type-I malformation.
  • Further research is needed to elucidate the underlying pathophysiology.