Pascual J

Idioma: Español
Referencias bibliográficas: 47
Paginas: 59-73
Archivo PDF: 744.69 Kb.

RESUMEN

Introducción: La cefaleas en relación con esfuerzo físico incluyen la cefalea desencadenada por la tos u otras maniobras de Valsalva, la cefalea desencadenada por ejercicio físico prolongado y la cefalea sexual. Objetivo: Analizar y actualizar las características clínicas de las cefaleas en relación con esfuerzo físico. Métodos: Revisión de la publicaciones, tanto en PuBMed como en los principales libros de texto, referentes a las diferentes cefaleas desencadenadas por esfuerzo físico. Resultados: Las cefaleas en relación con el ejercicio o cefaleas de esfuerzo comprenden fundamentalmente tres grandes entidades, la cefalea tusígena, la cefalea de esfuerzo prolongado (que en la nueva versión se llamará cefalea por ejercicio) y la cefalea orgásmica o sexual. Las tres variedades pueden a su vez ser primarias o sintomáticas. El tratamiento de las variantes primarias (indometacina para la cefalea tusígena y beta-bloqueantes para cefaleas por ejercicio y sexual) y las etiologías para las variantes secundarias (fundamentalmente malformación de Chiairi tipo I para la cefalea tusígena y malformaciones vasculares para cefaleas por ejercicio y sexual) difieren para cefalea tusígena y cefaleas por ejercicio y sexual. Conclusiones: En contra de la concepción de los trabajos clásicos, la cefalea tusígena es una entidad claramente separada clínicamente de la cefalea de esfuerzo prolongado y, en general, de la cefalea sexual, condiciones que comparten a su vez muchos aspectos comunes.

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