Short lasting activity-related headaches with sudden onset in children: a case-based reasoning on classification and diagnosis.

Irene Toldo, Debora De Carlo, Rodica Mardari, Luca De Palma, Michela Gatta, Barbara Bolzonella, Margherita Nosadini, Luca Bartolini, Stefano Sartori, Pier Antonio Battistella

Research output: Contribution to journalArticlepeer-review

Abstract

Short lasting headaches related to activity or cough are rare, particularly in childhood, and can be difficult to diagnose, especially in young children who are not able to describe their symptoms. In the literature there are few data on this topic in adults and the paediatric cases reported are even more rare. We present the clinical history of a 7-year-old child and a 3-year-old child both diagnosed as having activity-related headaches, characterized by sudden onset of short lasting (few seconds) attacks, that were triggered by cough or exercise. There were no accompanying symptoms and the neurological examination was normal in both cases. Brain magnetic resonance imaging showed, in the first case, a cerebellar pilocytic astrocytoma and, in the second case, a Chiari 1 malformation. Both cases received an early diagnosis, were surgically treated and had a good prognosis at follow-up. When headache has a recent onset, it presents suddenly, and it is triggered by strain, even with normal neurological examination, neuroimaging is mandatory in order to exclude secondary headaches, especially in children.

Original languageEnglish
Pages (from-to)3
Number of pages1
JournalJournal of Headache and Pain
Volume14
Issue number1
DOIs
Publication statusPublished - Dec 2013

ASJC Scopus subject areas

  • Medicine(all)

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