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cough headache
Etiology:
- cough
- Chiari malformation (50%)
Epidemiology:
- most common in older adults
Clinical manifestations:
- occurs abruptly after coughing
- pressure-like pain generally bilateral
- remains severe for seconds to minutes
- headache severity correlates with cough frequency
- mild headache may persist for hours
Radiology:
- MRI neuroimaging (rule out Chiari malformation)
Management:
- responds to indomethacin
General
headache
References
- Medical Knowledge Self Assessment Program (MKSAP) 17, 18.
American College of Physicians, Philadelphia 2015, 2018