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Exertional Headache

Aka: Exertional Headache, Sexual Headache, Orgasmic Headache, Coital Headache, Cough Headache

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
Differential Diagnosis
1. Cerebral Aneurysm
2. Posterior fossa lesion
  1. Meningioma
  2. Acoustic Neuroma
  3. Chiari Malformation
  4. Midbrain lesion
Evaluation
1. Exertional Headache is a Headache Red Flag
2. Rule-out Organic Headache in all cases
Radiology
1. MRI Head
Management
1. Evaluate all cases for Organic Headache first
2. Consider prophylaxis prior to exertion or intercourse
  1. Ergotamine
  2. Indomethacin
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)