Is This Primary Exertional Headache?
Discussion
Commonly occurring primary headaches include tension, cluster and migraine headaches. “Other primary headaches” are often situational. Patients can have more than 1 type of these “other” headaches along with more common headaches. Other primary headaches as a group tend to be self-limited with long remission periods. Some other primary headaches include:
Thunderclap headache
Explosive sudden onset with maximum intensity in less 1 minute and resolution within 5 minutes usually
43/100,000 persons in adults
Primary or secondary
Secondary causes include intracranial hemorrhage, stroke, thromboembolism, hypertensive encephalopathy etc.
Cough headache
Associated with or brought on by cough or other Valsalva maneuvers and lasts < 48 hours
Valsalva maneuvers can include straining, bending over, laughing, sneezing etc.
Note that a migraine headache is different as it is worsened not precipitated by Valsalva
1% lifetime prevalence
In pediatric population has been associated with Chiari I malformation but appears to have benign outcome for most patients
Treatment with indomethacin
Headache associated with sexual activity
Occurs during or brought on by sexual activity with either or both of: increased intensity with sexual excitement or explosive intensity around orgasm
Lasts 1 minute to 72 hours
Treatment with indomethacin or beta blockers
Other types include cardiac, cold stimulus, external pressure, hypnic, or nummular headaches
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Source: PediatricEducation.org - Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news
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