Primary exertional headache: Updates in the literature topical collection on uncommon headache syndromes

Rashmi B. Halker, Bert B. Vargas

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Primary exertional headache (PEH) has been recognized by the International Headache Society as a primary headache diagnosis since 1994. It is an uncommon, self-limited, and short-lasting disorder that is precipitated by exertion and is frequently comorbid with migraine. PEH shares a number of features with other headache disorders, including thunderclap headache, primary cough headache, and headache associated with sexual activity. Upon its initial occurrence, PEH requires a thorough neurologic evaluation and imaging studies to help eliminate possible underlying secondary causes, including subarachnoid hemorrhage and sentinel bleed. 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.

Original languageEnglish (US)
Article number337
JournalCurrent pain and headache reports
Volume17
Issue number6
DOIs
StatePublished - Apr 22 2013

Keywords

  • Cough headache
  • Exertional headache
  • Headache associated with sexual activity
  • Indomethacin-responsive
  • Migraine
  • Thunderclap headache

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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