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Academia Mexicana de Neurología, A.C.

2017, Number 6

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Rev Mex Neuroci 2017; 18 (6)

Exertional Headaches

Pascual J

Language: Spanish
References: 47
Page: 59-73
PDF size: 744.69 Kb.


ABSTRACT

Introduction: Headaches related to exertion include headache precipitated by cough or other Valsalva maneuvers, headache brought on by prolonged physical exercise and sexual headache. Objective: To analyse and actualise the clinical characteristics of headaches related to exertion. Methods: We have revised publications, both in PuBMed and in the main text books, on the different headaches brought on by physical exercise. Results: Headaches related to exertion include mainly three entities: cough headache, exercise headache and sexual headache. These three varieties of exertional headaches can be primary or secondary. The treatment of primary varieties (indomethacin for cough headache and beta-blockers for exercise and sexual headaches) and etiologies for secondary varieties (mainly Chiari type I malformation for cough headache and vascular malformations for exercise and sexual headaches) are different for cough versus exercise and sexual headaches. Conclusions: In contrast to classical works, cough headache is an entity clearly separated from headache related to prolonged exercise and, in general, sexual headache, conditions which share many aspects.


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