Neurology Book

Headache Disorders

  • Exertional Headache

http://www.fpnotebook.com/

Exertional HeadacheAka: 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)

ConceptsDisease or Syndrome (T047)
MSHD051270
EnglishBenign Cough Headache, Benign Cough Headaches, Cough Headache, Cough headache syndrome, Primary Cough Headache
Spanishsindrome de cefalea por tos
Parent ConceptsHeadache (C0018681)
SourcesMSH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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