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Cough, exercise, and sex headaches.

F Michael Cutrer1, Justin DeLange2

  • 1Headache Section, Department of Neurology, Mayo Medical School, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Neurologic Clinics
|April 8, 2014
PubMed
Summary

Cough, exercise, and sex headaches are distinct syndromes triggered by increased abdominal pressure. These headaches may indicate underlying issues and often respond to indomethacin treatment.

Keywords:
BenignCoughExerciseHeadacheNeuroimagingSexualStructuralVascular

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Cough, exercise, and sex headaches are often underrecognized.
  • These headache types are linked by a common trigger: sudden increases in intra-abdominal pressure.

Purpose of the Study:

  • To highlight the distinct yet related nature of cough, exercise, and sex headaches.
  • To emphasize the need for further diagnostics to rule out serious underlying causes.
  • To review the current understanding of these headache syndromes and their potential treatment.

Main Methods:

  • Review of existing literature and epidemiological data on cough, exercise, and sex headaches.
  • Analysis of pathophysiological similarities and differences.
  • Examination of treatment responses, particularly to indomethacin.

Main Results:

  • These headaches are triggered by rapid rises in intra-abdominal pressure.
  • Cough headaches might be more prevalent in specific populations.
  • Exercise-related headaches may be more common than previously estimated.
  • No pathophysiological distinctions found between different pain types in sexual headaches.
  • Indomethacin shows efficacy in treating all three headache syndromes.

Conclusions:

  • Cough, exercise, and sex headaches are distinct syndromes sharing a common trigger mechanism.
  • The potential for an underlying symptomatic etiology necessitates further diagnostic evaluation.
  • Indomethacin is a potential therapeutic option for these headache types.