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Exertional Headache

Head Pain After Intercourse (Coitus)


Presentation

  • The first patient presented with a thunderclap headache probably secondary to a myocardial ischemia and the second patient presented with isolated headaches secondary to angina pectoris triggered by exertions.[ncbi.nlm.nih.gov]
  • The principal aim of the present report is to have a closer look at various clinical features: particular attention has been given to the coexistence of EH and migraine. EH seemed to coexist with migraine in 46% of the cases.[ncbi.nlm.nih.gov]
  • Abstract We describe 4 patients with benign exertional headache presenting to the emergency department.[ncbi.nlm.nih.gov]
  • The present findings were similar to those in Pascual's description of exertional headache from 1996.[ncbi.nlm.nih.gov]
  • Abstract We present a case of benign exertional headache (BEH) in a 15-yr-old boy. The patient suffered from exclusively exercise-induced headaches with migraine-like accompanying symptoms.[ncbi.nlm.nih.gov]
Chest Discomfort
  • Most striking, neither man apparently complained of chest discomfort, diaphoresis, or palpitations. Cardiac catheterization demonstrated triple vessel coronary disease in both men.[ahcmedia.com]
Overeating
  • M football player presented with intermittent exertional headaches over the past year. He described the pain as sharp and located over the top of his head. The headaches progressively worsened throughout practice, peaking at 8/10.[amssm.org]
  • The pain is normally felt on both sides of the head but can also be one-sided, and can also be associated with feeling sick, being sick, and over sensitivity to light and sound.[ouchuk.org]
  • Fever and stiffness of the neck accompanying the headache may indicate meningitis. cluster headache a migraine-like disorder marked by attacks of unilateral intense pain over the eye and forehead, with flushing and watering of the eyes and nose; attacks[medical-dictionary.thefreedictionary.com]
Cerebellar Ataxia
  • Physical Exam: Neurologic exam normal—CN II-XII grossly intact, PERRL, EOMI, sensation intact to light touch distally, 5/5 strength all 4 extremities, speech fluent, normal gait, no cerebellar ataxia, good balance; Psychiatric exam normal—normal mood[amssm.org]
Focal Neurologic Deficit

Workup

  • Workup Subarachnoid hemorrhage from aneurysm or AVM, and tumors that block the ventricular outflow, such as a colloid cyst of the third ventricle, need to be excluded.[chicagoheadacheclinic.com]

Treatment

  • In this short review, we illustrate the possible treatment strategies on the basis of information collected from a systematic analysis of the international literature.[ncbi.nlm.nih.gov]
  • However, with indomethacin and naproxen, treatment should be monitored to avoid stomach irritation.[americanmigrainefoundation.org]

Prognosis

  • The prognosis of benign vascular sexual headache and the clinical and possible pathophysiological relationships between benign vascular sexual headache and benign exertional headache are discussed.[ncbi.nlm.nih.gov]
  • Silbert PL, Edis RH, Stewart-Wynne EG et al. (1991) Benign vascular sexual headache and exertional headache: interrelationships and long term prognosis. J Neurol Neurosurg Psychiat 54:417–421 Google Scholar 16.[link.springer.com]
  • Benign vascular sexual headache and exertional headache: interrelationships and long term prognosis. Journal of Neurology, Neurosurgery, and Psychiatry . 1991;54:417-421. 6. McCrory P. Recognizing exercise-related headache.[nursing.advanceweb.com]
  • Benign vascular sexual headache and exertional headache: interrelationships and long term prognosis. J Neurol Neurosurg Psychiatry 1991; 54: 417-21. 4.4 Cefalea primaria associata ad attività sessuale D'Andrea G, Granella F, Verdelli F.[ihs-klassifikation.de]

Etiology

  • […] prolonged overwork or emotional strain, or both, affecting especially the occipital region. toxic headache headache due to systemic poisoning or associated with illness. vascular headache a classification for certain types of headaches, based on a proposed etiology[medical-dictionary.thefreedictionary.com]
  • Some researchers have suggested an impaired vascular response as the etiology of this disorder.[ncbi.nlm.nih.gov]
  • New etiologies for secondary exertional headaches, such as reversible vasoconstriction of vertebral artery aneurysms, are added.[medlink.com]
  • The more rare etiologies are Chiari type I malformation, pseudotumor cerebri, cortical vein thrombosis, sagittal sinus thrombosis, and pheochromocytoma. 7 Effort headaches are associated with aerobic exertion such as running and differ from exertional[nursing.advanceweb.com]
  • External links [ edit ] Medscape: Etiology of Coital Headaches Dexter, S. (2010). "Benign coital headache relieved by partner's pregnancies with implications for future treatment" .[en.wikipedia.org]

Epidemiology

  • Although PEH is incompletely understood with regard to its epidemiology and pathophysiology, it is generally considered to be a benign disorder that is self-limited and responsive to trigger avoidance and indomethacin.[ncbi.nlm.nih.gov]
  • Abstract In connection with a large-scale study of headache epidemiology in the parish of Vågå, Norway (n 1838), a prevalence of exertional headache (EH) of 12.3% was recently reported (n 202).[ncbi.nlm.nih.gov]
  • This study is part of the Vågå headache epidemiology study, where 1838 18-65-year-old dalesmen were personally examined in a 'semistructured' interview. With the criteria used, the prevalence was 12.3%.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Our study suggests that intracranial venous congestion caused by retrograde jugular venous flow might play a role in the pathophysiology of EH with IJVVI as a risk factor.[ncbi.nlm.nih.gov]
  • This observation would support the concept that benign sexual headache (Type 2) and benign exertional headache may have a similar pathophysiology.[ncbi.nlm.nih.gov]
  • Although PEH is incompletely understood with regard to its epidemiology and pathophysiology, it is generally considered to be a benign disorder that is self-limited and responsive to trigger avoidance and indomethacin.[ncbi.nlm.nih.gov]
  • The prognosis of benign vascular sexual headache and the clinical and possible pathophysiological relationships between benign vascular sexual headache and benign exertional headache are discussed.[ncbi.nlm.nih.gov]

Prevention

  • Accurate diagnosis is critical to controlling headaches and preventing myocardial infarction.[ncbi.nlm.nih.gov]
  • .), given in doses similar to those for Migraine prevention have been shown to be effective in preventing PEH. Indomethacin at a dosage of 25-250 mg daily has also been effective in some cases.[healthcentral.com]
  • Doing warm-ups before any strenuous exercise also helps in preventing exercise headaches. Drink lots of water to prevent dehydration and headaches. Avoid high altitudes if you are prone to headaches at these places.[epainassist.com]

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