[Céphalée d'effort or cough headache. About 43 cases (author's transl)]

"Cephalée d'effort" (Tinel C.E.) is provocated by any physical effort: taking up a heavy weight, but also coughing, sneezing, laughing, going to stool. Pain is usually localized, abrupt in onset and of short duration. One may distinguish: 1) C.E. secondary to intracranial lesions, cranial traumatism, tumours of posterior fossa, syringomyelobulbia, Arnold-Chiari malformation, Paget disease, etc... 2) Isolated or primary C.E.: they occur mainly in men after fifty. Recurrence is capricious. Prognosis is good. Three mechanisms are possible: acute veinous hypertension of dural sinuses; sharp C.S.F. pressure rise, dural traction. The denomination of "céphalée d'effort" given by Tinel in 1932 is preferred to this of cough headache given by Sir Charles Symonds in 1956; because of the anteriority and wider conception of causal physical efforts, including cough.