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1. MIGRAINE 2. TENSION-TYPE HEADACHE (TTH) 3. CLUSTER HEADACHE AND OTHER TRIGEMINAL AUTONOMIC CEPHALALGIAS 4. OTHER PRIMARY HEADACHES 4.2. Primary cough headache 4.3. Primary exertional headache 4.4. Primary headache associated with sexual activity 4.5. Hypnic headache 4.6. Primary thunderclap headache 4.7. Hemicrania continua 4.8. New daily-persistent headache (NDPH) Bibliography

IHS	Diagnosis	ICD-10
4.2	Primary cough headache	G44.803
Previously used terms	Benign cough headache, Valsalva-manoeuvre headache

Description:

Headache precipitated by coughing or straining in the absence of any intracranial disorder.

Diagnostic criteria:

Headache fulfilling criteria B and C
Sudden onset, lasting from one second to 30 minutes
Brought on by and occurring only in association with coughing, straining and/or Valsalva manoeuvre
Not attributed to another disorder¹

Note:

Cough headache is symptomatic in about 40% of cases and the large majority of these present Arnold-Chiari malformation type I. Other reported causes of symptomatic cough headache include carotid or vertebrobasilar diseases and cerebral aneurysms. Diagnostic neuroimaging plays an important role in differentiating secondary cough headache from 4.2 Primary cough headache.

Comment:

Primary cough headache is usually bilateral and predominantly affects patients older than 40 years of age. Whilst indomethacin is usually effective in the treatment of primary cough headache, a positive response to this medication has also been reported in some symptomatic cases.

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IHS vs. ICD-10

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