Modified Valsalva test differentiates primary from secondary cough headache

Enrico Ferrante

doi:10.1186/1129-2377-14-91

Abstract

I suppose that the patient number 14, reported in the article of RJ Lane et al. on “Modified Valsalva test differentiates primary from secondary cough headache ”in a recent issue of your esteemed journal, was probably suffering from spontaneous intracranial hypotension syndrome (SIH) caused by cervical manipulation.

Highlights

“Modified Valsalva test differentiates primary from secondary cough headache ” [1] in a recent issue of your esteemed journal
spontaneous intracranial hypotension (SIH) is characterized by orthostatic headache, low CSF pressure and diffuse pachymeningeal enhancement on brain MRI [3]
Even in our series of about 200 cases we found three cases of patients with SIH caused by cervical manipulation

Summary

Introduction

I suppose that the patient number 14, reported in the article of RJ Lane et al on “Modified Valsalva test differentiates primary from secondary cough headache ”in a recent issue of your esteemed journal, was probably suffering from spontaneous intracranial hypotension syndrome (SIH) caused by cervical manipulation. “Modified Valsalva test differentiates primary from secondary cough headache ” [1] in a recent issue of your esteemed journal. “They examined 16 consecutive cough headache patients using a modified Valsalva test (exhalation into the connecting tube of a standard anaeroid sphygmomanometer to 60 mm Hg for 10 seconds). The cough headache was relieved following surgery in all cases.

Results

Conclusion