Features of stabbing, cough, exertional and sexual headaches in a Turkish population of headache patients

Tugba, Turnc; Üçler, Serap; Esra, Okuyucu; Coskun, Ozlem; Emre, Ufuk; E, Inan Levent

doi:10.1016/j.jocn.2006.10.018

Cited by 28 publications

(25 citation statements)

References 9 publications

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“…These two large-scaled studies both found a female predominance, in contrast to the finding of significant male preponderance in previous hospital-based studies [1,18]. EH accounted for about 5.3% of patients in a headache clinic in Turkey [17].…”

Section: Primary Exertional Headachementioning

confidence: 60%

“…Most of the patients had low frequencies of attacks, so they seldom visited a doctor. The prevalence of PSH was about 13% in Taiwan and Turkey headache clinics [14,17]. The high prevalence might be due to the lack of a referral system in Taiwan.…”

Section: Primary Stabbing Headachementioning

confidence: 99%

“…Two clinic-based studies reported that HSA accounted for 1% of all patients [13,17]. More men than women have this disorder, with a ratio of 3 to 4:1 [13, 19, 20•, 21].…”

Section: Primary Headache Associated With Sexual Activitymentioning

confidence: 99%

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The “Other” Headaches: Primary Cough, Exertion, Sex, and Primary Stabbing Headaches

Wang

Fuh

2010

Curr Pain Headache Rep

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Primary cough headache, primary exertional headache, primary sexual headache, and idiopathic stabbing headache are included in "Other Primary Headaches" (Group 4) in the International Classification of Headache Disorders, 2nd edition (ICHD-II). Headaches provoked by cough, exertion, and sex have different age distributions, but they do share some clinical and pathogenic characteristics. The triggering activities frequently involve Valsalva-like maneuvers, which may explain part of the pathogenesis. Primary stabbing headache is common and characterized by ultra-short stabbing headaches. All these headache disorders respond well to indomethacin, and they are commonly comorbid with migraine except for primary cough headache. Of note, some patients with sexual headache had reversible cerebral vasoconstriction syndromes. Recent large-scaled studies have revealed that the ICHD-II criteria of these four headache disorders cannot be completely fulfilled. Further revisions for the ICHD-II criteria are required based on these results of the evidence-based studies.

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Section: Primary Exertional Headachementioning

confidence: 60%

Section: Primary Stabbing Headachementioning

confidence: 99%

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The “Other” Headaches: Primary Cough, Exertion, Sex, and Primary Stabbing Headaches

Wang

Fuh

2010

Curr Pain Headache Rep

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“…In the only population-based epidemiological study conducted, Rasmussen and Olesen [5] found a prevalence of about 1% in a 25- to 64-year-old population, similar to that of the other two primary headaches provoked by exertional factors: cough headache and exertional headache. In three headache clinic-based studies, patients fulfilling the criteria for headache attributed to sexual intercourse ranged from 0.2 to 1.3% [36–38], while a recent Turkish population-based study reported a prevalence of 1.6%, with an age at onset and a gender distribution similar to those given in other reports [39]. …”

Section: Primary Headache Associated With Sexual Activitymentioning

confidence: 93%

Focus on therapy of the Chapter IV headaches provoked by exertional factors: primary cough headache, primary exertional headache and primary headache associated with sexual activity

Allena

Rossi²,

Tassorelli

et al. 2010

J Headache Pain

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Primary cough headache, primary exertional headache and primary headache associated with sexual activity are distinct entities, even though they share several features: acute onset, the absence of structural brain disease and exertional factors as precipitating events. In this short review, we illustrate the possible treatment strategies on the basis of information collected from a systematic analysis of the international literature.

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“…Herhangi bir ilaç almadan ağrısının yarım saat içinde belirgin olarak azaldığını ancak yaklaşık 10 saat sonra bile başta bir dolgunluk hissinin olduğunu ifade etti. kriterlerini karşılamaz F. ICHD-3' e göre başka bir tanı ile daha iyi açıklanamaz hastalar içinde CAB'nin %7 oranında görüldüğü bildirilmiştir (7,8,9). Vakaların %60'ında ağrı bilateral gelişir, %80 oranında oksipital lokalizasyondadır, genellikle 10 dakika ile 3 gün arasında (ortalama 3-4 saat) sürer (1,10).…”

Section: Olguunclassified

Headache Associated With Sexual Activity: A Current Overview Accompanied By Cases

Akyol¹,

Amasyali²,

Şair³

et al. 2017

Türk Beyin Damar Hast Derg

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ÖZETUluslararası baş ağrısı cemiyetinin (IHS) son sınıflamasına göre primer cinsel aktivite baş ağrısı (CAB) tanımı ile, kafa içi bozukluk olmaksızın cinsel uyarılma ile ortaya çıkan, künt iki yanlı olarak başlayan ve orgazm ile aniden yoğunlaşan baş ağrıları ifade edilir. Bu baş ağrılarının sekonder nedeni olarak ayırıcı tanıya RSVS (reversibl serebral vazokonstriksiyon sendromu), arteryel diseksiyon, glokom, anevrizma rüptürüne bağlı subaraknoidal kanama, feokromositoma gibi patolojiler girmektedir. Baş Ağrısı Bozukluklarının Uluslarası Sınıflaması üçüncü son sınıflamasında (ICHD-III) CAB preorgazmik ve orgazmik olarak ayrılmayıp, değişken prezentasyona sahip tek bir antite olarak kabul edilmiştir. Tipik klinik prezentasyona sahip olgularda bile (orta yaş, erkek, normal nörolojik muayene) olası sekonder patolojiyi dışlamak zorunludur. Klinisyenlerin sekonder patolojiler açısından farkındalıklarını arttırmak üzere üç olgumuzu literatür bulguları ile karşılaştırarak sunmak istedik. Olgularımızın kan basıncı, rutin biyokimyasal tetkikleri ve nörolojik muayeneleri normaldi. Her 2 erkek olgunun kranyal manyetik rezonans görüntüleme (MRG) ve manyetik rezonans anjiografi (MR-A) tetkiklerinde özellik saptanmazken kadın hastada internal karotis arterde anevrizma saptandı. Bu olguda kanama bulgusu yoktu. Önleyici tedavi olarak cinsel aktiviteden 30-60 dakika öncesinde indometazin (50 mg) önerdiğimiz her üç hastanın takibinde de ataklar devam etmemiştir. Anahtar Sözcükler: Cinsel aktivite baş ağrısı, Anevrizma, Subakranoidal kanama. HEADACHE ASSOCIATED WITH SEXUAL ACTIVITY: A CURRENT OVERVIEW ACCOMPANIED BY CASES ABSTRACTAccording to the last classification of the International Headache Society (IHS), primary headache associated with sexual activity (PHASA) begins as dull bilateral pain with sexual stimulation and suddenly condenses with orgasm in the absence of any intracranial disorder. The differential diagnosis includes various pathologies such as reversible cerebral vasoconstriction syndrome, arterial dissection, glaucoma, subarachnoid hemorrhage due to aneurysmal rupture, and pheochromocytoma. PHASA is not subdivided into preorgasmic or orgasmic subforms, but it was accepted as a single entity with variable presentation in this last classification [International Classification of Headache Disorders, 3rd edition, beta version (ICHD-III) ]. It is mandatory to exclude possible secondary pathology, even in cases with typical clinical presentation (middle age, male, normal neurological examination). We found an underlying secondary pathology in only one of the three cases (internal carotid artery aneurysm). We considered it appropriate to present three cases to increase the awareness of clinicians in terms of secondary pathology. All three patients received indomethacin for preemptive therapy (50mg, intake 30-60 minute prior to sexual activity) with good results.

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Features of stabbing, cough, exertional and sexual headaches in a Turkish population of headache patients

Cited by 28 publications

References 9 publications

The “Other” Headaches: Primary Cough, Exertion, Sex, and Primary Stabbing Headaches

The “Other” Headaches: Primary Cough, Exertion, Sex, and Primary Stabbing Headaches

Focus on therapy of the Chapter IV headaches provoked by exertional factors: primary cough headache, primary exertional headache and primary headache associated with sexual activity

Headache Associated With Sexual Activity: A Current Overview Accompanied By Cases

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