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Cough headache responsive to methysergide

A Bahra1, P J Goadsby

  • 1Institute of Neurology, National Hospital for Neurology and Neurosurgery, London, UK.

Cephalalgia : an International Journal of Headache
|October 30, 1998
PubMed
Summary
This summary is machine-generated.

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Cough headache, a distinct syndrome, is often treated with indomethacin. In a patient contraindicated for indomethacin, methysergide showed a promising response for managing this distressing headache.

Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Cough headache is a primary headache disorder triggered by Valsalva maneuvers.
  • Standard treatment involves indomethacin, with lumbar puncture also considered.

Observation:

  • A patient presented with cough headache where indomethacin was contraindicated.
  • This patient experienced a notable response to methysergide therapy.

Findings:

  • Methysergide may be an effective alternative treatment for cough headache.
  • This suggests a potential therapeutic option for patients intolerant to indomethacin.

Implications:

  • Further research is warranted to confirm methysergide's efficacy and safety in cough headache.
  • This finding could expand treatment options for patients with challenging headache presentations.

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