Neurology Book

Headache Disorders

  • Exertional Headache

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Exertional Headache

Aka: Exertional Headache, Sexual Headache, Orgasmic Headache, Coital Headache, Cough Headache
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  1. Symptoms
    1. Bilateral throbbing or pressure Headache
    2. Headache duration: minutes to 2 days
    3. Triggers
      1. Exercise
      2. Coughing, sneezing, blowing
      3. Lifting weight
      4. Straining at stool
      5. Crying
      6. Singing
      7. Sexual activity (intercourse, masturbation)
        1. May peak with orgasm
        2. May also be trigger in Migraine Headache
  2. Differential Diagnosis
    1. Cerebral Aneurysm
    2. Posterior fossa lesion
      1. Meningioma
      2. Acoustic Neuroma
      3. Chiari Malformation
      4. Midbrain lesion
  3. Evaluation
    1. Exertional Headache is a Headache Red Flag
    2. Rule-out Organic Headache in all cases
  4. Radiology
    1. MRI Head
  5. Management
    1. Evaluate all cases for Organic Headache first
    2. Consider prophylaxis prior to exertion or intercourse
      1. Ergotamine
      2. Indomethacin
  6. References
    1. Cutrer in Goldman (2000) Cecil Medicine, p. 2066
    2. Goetz (1999) Clinical Neurology, p. 1101

Primary Cough Headache (C0751185)

Concepts Disease or Syndrome (T047)
MSH D051270
ICD9 339.83
ICD10 G44.83
SnomedCT 95658004
Czech primární bolest hlavy při kašli, bolest hlavy při kašli
French Céphalée à la toux
German Primärer Hustenkopfschmerz, Benigner Hustenkopfschmerz, Hustenkopfschmerz
English benign cough headache (diagnosis), benign cough headache, Primary cough headache, cough headache, headache cough, coughing headache, cough headaches, Benign cough headache, Cough headache syndrome, Cough headache syndrome (finding), Cough Headache, Headache, Cough, Benign Cough Headaches, Benign Cough Headache, Cough Headache, Benign, Cough Headaches, Benign, Headache, Benign Cough, Headache, Primary Cough, Headaches, Benign Cough, Primary Cough Headache
Spanish síndrome de cefalea por tos (hallazgo), síndrome de cefalea por tos
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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