Cerebral aneurysm presenting as cough headache

The diagnosis of benign cough headache syndrome currently requires non-invasive brain imaging to exclude structural and mass lesions. We describe a patient with a cerebral aneurysm who presented with recurrent cough headache as her initial symptom. Conventional cerebral angiography was required for the diagnosis. Cerebral aneurysm should be considered in the differential diagnosis of cough headache syndrome.