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| Clinical analysis of 17 cases with primary cough headache |
| CAO Su1 XUE Zhanyou2▲ ZHANG Xiaoyi2 XU Li2 ZHAO Yuan2 |
1.Department of Pediatrics, the 988th Hospital of PLA, He'nan Province, Jiaozuo 454003, China;
2.Department of Neurology, the 988th Hospital of PLA, He'nan Province, Jiaozuo 454003, China |
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Abstract Objective To analyze the clinical characteristics of primary cough headache, to enhance the understanding for primary cough headache and improve the therapeutic effect. Methods A total of 17 patients with primary cough headache diagnosed and treated in the Headache Clinic of Department of Neurology in the 988th Hospital of PLA from January 2017 to January 2018 were collected to observe their clinical manifestations and therapeutic effects, and the summary and analysis was performed by combining with literatures. Results Among the 17 cases of patients, 11 cases were male and 6 cases were female, the onset age was ranged from 10 to 65 years old, and the medical history was ranged from 18 h to 4 months. Headache was given priority to side edge, the most common site was occipitalia, the nature of pain was various, which was given priority tothrobbing and needle-like pain. The degree of pain was mainly mild to moderate, the pain duration was short, which was shorter than 10 s in common. The headache of all patients got worse when they coughed, which could be also reduced byexertion, lowering head, vibration and laughter, accompanied by rhinobyon, nasal discharge and other concomitant symptoms. The patients had previous history of migraine, nummular headache and other types. Most of the imageological examination showed no obvious abnormal appearances. The symptoms could be relieved by oneself or after drug administration. Conclusion Primary cough headache is a rare headache disease, and the diagnosis mainly depends on clinical manifestations and imaging to exclude other diseases. The treatment of primary cough headache is mainly symptomatic treatment, which has good prognosis.
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