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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
PubMed

Insights

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.

Keywords:
headache (including migraines)paediatrics

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