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Updated: Aug 4, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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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
PubMed
Summary
This summary is machine-generated.

Primary cough headache (PCH) can evolve, presenting with atypical triggers beyond coughing and lasting longer than usual. This case highlights PCH

Keywords:
case reportevolution of symptomsindomethacinprimary cough headachevalsalva maneuver

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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.