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[Céphalée d'effort or cough headache. About 43 cases (author's transl)]
La Semaine Des Hopitaux : Organe Fonde Par L'Association D'Enseignement Medical Des Hopitaux De Paris
|March 18, 1980
Summary
Effort-induced headaches, or cephalée d'effort (CE), are triggered by physical exertion like coughing or lifting. While often benign, they can sometimes indicate serious underlying neurological conditions.
Area of Science:
- Neurology
- Headache Medicine
Context:
- Cephalée d'effort (CE), or effort-induced headache, is a distinct primary headache disorder.
- It is characterized by sudden onset, localized pain, and short duration, triggered by physical exertion.
- Understanding CE is crucial for differentiating it from secondary headaches caused by serious intracranial pathologies.
Purpose:
- To define and differentiate primary effort-induced headaches (cephalée d'effort) from secondary causes.
- To explore the potential pathophysiological mechanisms behind effort-induced headaches.
- To clarify the nomenclature and historical context of effort-induced headache classification.
Summary:
- Effort-induced headaches are provoked by physical activities such as weight-lifting, coughing, sneezing, laughing, or defecation.
- Primary CE typically affects men over fifty, with capricious recurrence and a good prognosis.
- Secondary CE may be associated with intracranial lesions, including tumors, trauma, or malformations.
Impact:
- Provides a clear distinction between primary and secondary effort-induced headaches.
- Highlights the importance of considering underlying pathologies in the diagnosis of effort-induced headaches.
- Emphasizes the preferred terminology of 'cephalée d'effort' over 'cough headache' due to its broader scope.