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Paediatric primary cough headache with internal jugular phlebectasia.
Yuko Omata1, Yoshiko Takahashi2, Tomoko Nakazawa2
1Department of Pediatrics, Seikeikai Chiba Medical Center, Chiba, Japan omatonntonn@hotmail.co.jp.
BMJ Case Reports
|June 25, 2021
Summary
Primary cough headaches (PCHs) can affect children, not just adults. This case highlights a link between PCH and internal jugular vein abnormalities in a pediatric patient.
Area of Science:
- Neurology
- Pediatrics
- Vascular Medicine
Background:
- Primary cough headache (PCH) is typically diagnosed in adults over 40.
- Cough-induced headaches in children may indicate underlying symptomatic conditions.
Observation:
- A 7-year-old boy experienced severe headaches triggered by coughing due to pertussis.
- Physical examination revealed swelling on the right side of his neck.
- Cranial imaging showed no intracranial abnormalities.
Findings:
- Echocardiography revealed right internal jugular vein dilatation during a Valsalva maneuver.
- The patient was diagnosed with PCH associated with internal jugular phlebectasia.
- This case suggests a potential association between PCH and jugular vein abnormalities in children.
Implications:
- PCH can occur in pediatric populations, challenging the typical age demographic.
- Internal jugular vein morphology and function assessment should be considered in the diagnostic workup of pediatric PCH.
- Early identification of vascular abnormalities may improve diagnosis and management of cough headaches in children.
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