Abstract

Cough headache can be primary, characterized by a benign course, or symptomatic, resulting from pathologies of the posterior cranial fossa structures. According to the latest classification of the International Headache Society (IHS), primary cough headache is included in the «other primary headaches» registry and is defined as headache provoked by coughing, sneezing, or straining during defecation in the absence of any intracranial disorders. Symptomatic cough headache due to Chiari malformation is considered under the rubric of «headache associated with nonvascular intracranial lesions» and classified as headache associated with Chiari malformation type I. Different types of cough headaches require careful differential diagnosis and different treatment approaches.

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