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Primary Cough Headache: A Case Report
Khudheeja A Ahmed1, Juwayria A Ahmed1, Ibrahim Mohsin2
1Research, KAAJ Healthcare, San Jose, USA.
Cureus
|April 7, 2023
Summary
Primary cough headache (PCH) can evolve, presenting with atypical triggers beyond coughing and lasting longer than usual. This case highlights PCH
Area of Science:
- Neurology
- Headache Medicine
Background:
- Primary cough headache (PCH) is defined by headaches triggered by Valsalva maneuvers.
- PCH typically presents as sudden, bilateral headaches lasting minutes to two hours.
Observation:
- A 53-year-old female experienced PCH with unusually prolonged headache episodes lasting several hours.
- Headache triggers evolved from coughing to unassociated with Valsalva maneuvers, and eventually to no discernible trigger.
- Diagnostic imaging, including MRI and CT, ruled out secondary causes.
Findings:
- The patient was treated with indomethacin, topiramate, and metoprolol tartrate.
- This treatment regimen effectively reduced headache intensity and duration.
- Symptoms resolved within four weeks.
Implications:
- This case expands the understanding of PCH's potential trigger evolution and atypical presentations.
- It underscores the importance of considering PCH even with prolonged headache durations and varied triggers.
- The successful treatment demonstrates a viable therapeutic approach for complex PCH cases.
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