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Exertional Headache
Aka: Exertional Headache, Sexual Headache, Orgasmic Headache, Coital Headache
- See Also
- Headache
- Cough Headache
- Headache Red Flag
- Organic Headache
- Chronic Daily Headache
- Symptoms
- Bilateral throbbing, pulsating or pressure Headache
- Headache duration: minutes to 2 days
- Provocative factors
- Exercise
- Coughing, sneezing, blowing
- Lifting weight
- Straining at stool
- Crying
- Singing
- Sexual activity (intercourse, masturbation)
- May peak with orgasm
- May also be trigger in Migraine Headache
- Differential Diagnosis
- Benign Cough Headache
- Cerebral Aneurysm
- Posterior fossa lesion
- Meningioma
- Acoustic Neuroma
- Chiari Malformation
- Midbrain lesion
- Evaluation
- Exertional Headache is a Headache Red Flag
- Rule-out Organic Headache in all cases
- Imaging
- CT Head or MRI Head (consider with CT angiogram or MR angiogram)
- Management
- Evaluate all cases for Organic Headache first
- Consider prophylaxis prior to exertion or intercourse
- Indomethacin
- Ergotamine
- References
- Cutrer in Goldman (2000) Cecil Medicine, p. 2066
- Goetz (1999) Clinical Neurology, p. 1101
- (2004) Cephalgia 24(suppl 1): 9-160 [PubMed]