|
Primary Cough Headache |
Symptomatic Cough Headache |
Primary Exertional Headache |
Symptomatic Exertional Headache |
Mean age (range) |
67 (44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81) |
39 (15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63) |
24 (10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48) |
42 (18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61) |
Gender, % male |
77 |
59 |
88 |
43 |
Duration |
Seconds-30 min |
Seconds-days |
5 min-48 hr |
1 day-1 month |
Frequency |
One-multiple/daily |
One-multiple/daily |
One a day to 1 in 2 mo |
One attack in SAH; multiple in patients with space-occupying lesions |
Persistence |
2-24 months |
Persisting |
15 days-10 years |
1 day-1 month |
Quality |
Sharp, stabbing |
Bursting, stabbing |
Pulsating |
Explosive, pulsating |
Other manifestations |
No |
Posterior fossa signs |
Nausea, photophobia |
nausea, vomiting, neck rigidity |
Diagnosis |
Idiopathic |
Chiari type I malformation |
Idiopathic |
SAH, sinusitis, brain metastases |
Effective treatment |
Indomethacin |
Suboccipital craniectomy |
Ergotamine, propranolol, indomethacin |
Specific to diagnosis |
Abbreviation: SAH: subarachnoid hemorrhage. |
Adapted from Pascual J, Iglesias F, Oterino A, et al. Cough, exertional, and sexual headaches: an analysis of 72 benign and symptomatic cases. Neurology. 1996;46:1520-1524. | |