Modified Valsalva test differentiates primary from secondary cough headache

Clinical Clues and Clinical Rules: Primary Vs Secondary Headache*

Headache is a common condition, accounting for many specialist office visits annually. International Headache Society classification and diagnostic guidelines are invaluable tools for evaluating the headache patient. These guidelines can be enhanced with clinical clues that aid in determining whether a particular headache is primary or secondary. The secondary causes of pain must be ruled out; ...

Pearls & Oy-sters: cough headache secondary to Chiari malformation type I.

Huge arachnoid Cyst Presenting as Cough Headache.

A 42-year-old man presented to our clinic with episodic diffuse thunderclap headache occurring over the past 5 months. His headache, which lasted from hours to one day, was always exacerbated by coughing and exertion. Neurologic examination was unremarkable. Brain magnetic resonance imaging with gadollinium demonstrated a huge arachnoid cyst with lateral ventricle compression (Figure.). After s...

Spontaneous low cerebrospinal fluid pressure syndrome can mimic primary cough headache.

CLINICAL HISTORY This is a 66-year-old white male with occasional mild headaches in the past. He presented with a 4month history of headaches occurring one to four times per day, brought on by having a bowel movement, stooping, or getting up from a sitting position. He did not know if the headache was triggered by coughing because he had not coughed at all. The headache was a bifrontal and bite...

Mechanisms of cough syncope as evaluated by valsalva maneuver.

Successful treatment of cough syncope depends on the correction of various pathogenetic mechanisms among different patients. The valsalva maneuver (VM), which elicits hemodynamic responses mimicking coughs, has potential for investigating the individual pathogenesis of cough syncope. Eighteen consecutive patients suffering from cough-induced syncope were examined. All patients were asked to cou...