Cough headache: clinic, diagnostics, treatment
T.G. SAKOVETS1, M.A. KHAIRULLOV2, A.G. AKHUNOVA 2, R.I. DAVLETSHINA2
1Kazan State Medical University, Kazan
2Republic Clinical Hospital, Kazan
Contact details:
Sakovets T.G. — Ph. D. (Medicine), Associate Professor of the Department of Neurology
Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7-917-924-99-79, e-mail: tsakovets@yandex.ru
Cough headache can be primary, characterized by a benign course, or symptomatic, resulting from pathologies of the posterior cranial fossa structures. According to the latest classification of the International Headache Society (IHS), primary cough headache is included in the «other primary headaches» registry and is defined as headache provoked by coughing, sneezing, or straining during defecation in the absence of any intracranial disorders. Symptomatic cough headache due to Chiari malformation is considered under the rubric of «headache associated with nonvascular intracranial lesions» and classified as headache associated with Chiari malformation type I. Different types of cough headaches require careful differential diagnosis and different treatment approaches.
Key words: Chiari malformation, cough headache, primary headache, headache associated with non-vascular intracranial lesions.
REFERENCES
- Allena M., Rossi P., Tassorelli C. et al. Focus on therapy of the headaches provoked by exertional factors: primary cough headache, primary exertional headache and primary headache associated with sexual activity. J Headache Pain, 2010, no. 11, rr. 525–530.
- Amer T.A., El-Shmam O.M. Chiari Malformation Type I: a new MRI classification. Magn Reson Imaging, 1997, no. 15, pp. 397–403.
- Ball W.S., Crone K.R. Chiari I Malformation: from Dr Chiari to MR imaging. Radiology, 1995, no. 95, pp. 602–604.
- Milhorat T.H., Chou M.W., Trinidad E.M. et al. Chiari I malformation redefined: clinical and radiographic findings for 364 symptomatic patients. Neurosurgery, 1999, no. 44, pp. 1005–1017.
- Savy L.E., Stevens J.M., Taylor D.J. et al. Apparent cerebellar ectopia: a reappraisal using volumetric MRI. Neuroradiology, 1994, no. 36, pp. 360–363.
- Moreno-Ajona D., Dolores M., Villar-Martínez M. Primary cough headache treated with non-invasive vagal nerve stimulation. Neurology, 2020, vol. 95 (13), pp. 593–594.
- Rasmussen B.K., Olesen J. Symptomatic and nonsymptomatic headaches in a general population. Neurology, 1992, no. 42, rr. 1225–1231.
- Pascual J., Combarros O., Leno C. et al. Distribucio´n por diagno´sticos del dolor de cabeza como motivo de consulta neurolo´gica. Med Clin (Barc), 1995, no. 104, pp. 161–164.
- Pascual J., Gonza´lez-Mandly A., Martı´n R. et al. Headaches precipitated by cough, prolonged exercise or sexual activity: a prospective etiological and clinical study. J. Headache Pain, 2008, no. 9, rr. 259–266.
- Rooke E.D. Benign exertional headache. Med. Clin. North. Am, 1968, no. 52, pp. 801–808.
- Symonds C. Cough headache. Brain, 1956, no. 79, rr. 557–568.
- Nick J. La ce´phale´e d’effort. A propos d’une se´rie de 43 cas. Semin Hop Paris, 1980, no. 56, pp. 525–531.
- Sands G.H., Newman L., Lipton R. Cough, exertional and other miscellaneous headaches. Med Clin North Am, 1980, no. 75, pp. 733–747.
- Pascual J., Iglesias F., Oterino A. et al. Cough, exertional, and sexual headaches. An analysis of 72 benign and symptomatic cases. Neurology, 1990, no. 46, pp. 1520–1524.
- Pascual J., Oterino A., Berciano J. Headache in type I Chiari malformation. Neurology, 1992, no. 42, pp. 1519–1521.
- Pascual J. Primary cough headache. Curr Pain Headache Rep, 2005, no. 9, pp. 272–276.
- Williams B. Cough headache due to craniocerebrospinal pressure dissociation. Arch Neurol, 1980, no. 37, pp. 226–230.
- Nightingale S., Williams B. Hindbrain hernia headache. Lancet, 1987, no. 1, pp. 731–734.
- Sansur C.A., Heiss J.D., DeVroom L.H. et al. Pathophysiology of headache associated with cough in patients with Chiari malformation. J Neurosurg, 2003, no. 98, pp. 453–458.
- Williams B. Cerebrospinal fluid changes in response to coughing. Brain, 1976, no. 99, pp. 331–346.
- Marcella C., Valentini L.G., Vetrano I. et al. Chiari malformation type 1-related headache: the importance of a multidisciplinary study. Neurol Sci, 2017, vol. 38 (1), pp. 91–93.
- Cordenier A., De Hertogh W., De Keyser J. et al. Headache associated with cough: a review. J Headache Pain, 2013, no. 14, p. 42.
- Pascual J., Iglesias F., Oterino A. et al. Cough, exertional, and sexual headaches. An analysis of 72 benign and symptomatic cases. Neurology, 1996, no. 46, rr. 1520–1524.
- Pujol A., Roig C., Capdevila A. et al. Motion of the cerebellar tonsils in Chiari type I malformation studied by cine-phase contrast MRI. Neurology, 1995, no. 45, pp. 1746–1753.
- Quigley M.F., Iskandar B., Quigley M.E. et al. Cerebrospinal fluid flow in foramen magnum: temporal and spatial patterns at MR imaging in volunteers and in patients with Chiari type I malformation. Radiology, 2004, no. 232, pp. 229–236.
- Wang S.J., Fuh J.L., Lu S.R. Benign cough headache is responsive to acetazolamide. Neurology, 2000, no. 55, pp. 149–150.
- Raskin N.H. The cough headache syndrome: treatment. Neurology, 1995, no. 45, p. 1784.
- Chen Y.Y., Lirng J.F., Yu W.C. et al. Cardiac cephalgia. Case report and review of the literature with new ICHD-II criteria revisited. Eur Neurol, 1995, no. 51, pp. 221–226.
- Langridge B., Phillips E., Choi D. Chiari malformation type 1: a systematic review of natural history and conservative management. World Neurosurg, 2017, no. 104, pp. 213–219.
- Boes C.J., Matharu M.S., Goadsby P.J. Benign cough headache. Cephalalgia, 2002, no. 22, pp. 772–779.
- Pascual J. Activity-related headache. In: S Gilman (Ed.), MedLink Neurology: MedLink, San Diego, 2009, pp. 15–19.
- Bahra A. Other primary headaches — thunderclap, cough, exertional, and sexual headache. J Neurol, 2020, vol. 267 (5), pp. 1554–1566.
- Hayhurst C., Mohamed H.A. Hindbrain decompression for Chiari-syringomyelia complex: an outcome analysis comparing surgical techniques. Br J Neurosurg, 2008, vol. 22 (1), pp. 86–91.
- Chavez A., Rogusk M., Killeen F. Comparison of operative and non-operative outcomes based on surgical selection criteria for patients with Chiari I malformations. J Clin Neurosci, 2014, vol. 21 (12), pp. 2201–2206.
- Nappi G., Moskowitz M.A. Handbook of Clinical Neurology, (3rd series). Headache Editors: Elsevier, 2011, vol. 97, pp. 459–468.
- Kesler R., Mendizabal J.E. Headache in Chiari malformation: a distinct clinical entity? J Am Osteopath Assoc, 1999, vol. 99 (3), pp. 153–156.
- Stovner L.J. Headache associated with the Chiari type I malformation. Headache, 1993, vol. 33 (4), pp. 175–181.
- Sjaastad O., Bakketeig L.S. Exertional headache. I. Vaga study of headache epidemiology. Cephalalgia, 2003, no. 22, pp. 784–790.
- Evans R.W., Pascual J. Orgasmic headaches: clinical features, diagnosis and management. Headache, 2000, no. 40, pp. 491–494.
- Smith W.S., Messing R.O. Cerebral aneurysm presenting as cough headache. Headache, 1993, no. 33, pp. 203–204.
- Britton T.C., Guiloff R.J. Carotid artery disease presenting as cough headache. Lancet, 1988, no. 1, pp. 1406–1407.
- Rivera M., del Real M.A., Teruel J.L. et al. Carotid artery disease presenting as cough headache in a patient with haemodialysis. Postgrad Med, 1991, no. 67, p. 702.
- Satikov I.N., Mattle H.P. Vertebrobasilar dolicoectasia and exertional headache. J Neurol Neurosurg Psychiatry, 1978, no. 41, pp. 930–933.
- Omata Y., Takahashi Y., Nakazawa T. et al. Paediatric primary cough headache with internal jugular phlebectasia. BMJ, 2021, no. 14, pp. 242–590.
- Diamond S. Prolonged benign exertional headache: its clinical characteristics and response to indomethacin. Headache, 1982, no. 22, pp. 96–98.
- Mathew N.T. Indomethacin responsive headache syndromes. Headache, 1981, no. 21, pp. 147–150.
- Slavik R.S., Rhoney D.H. Indomethacin: are view of its cerebral blood flow effects and potential use for controlling intracranial pressure in traumatic brain injury patients. Neurol Res, 1999, no. 21, pp. 491–499.
- Chalaupka F.D. Therapeutic effectiveness of acetazolamide in hindbrain hernia headache. Neurol Sci, 2000, no. 21, pp. 117–119.