A 51-year-old woman with CDH for 3 years presented with bilateral, pressure-like headache aggravated by valsalva and alleviated by lying down.
The aim of collecting information of the onset age of headache, intensity, accompanying symptoms and whether the headache aggravated after activity was to diagnose, so these were not included in the analyses.
These characteristics included: dominant side of headache, headache of pulsating quality, nausea, photophobia or phonophobia, anti-migraine medication helps, forward trunk bend increases pain, neck movement or positions provoke headache, headache aggravated by exertion, and neck symptoms precede headache.
Headache aggravated by exertion or Valsalva like manoeuvre 27 (8.2%) 6 (22.2%) Idiopathic intracranial hypertension, subdural, chiari (x3), orbital abnormality 8. Headache associated with vomiting 4 (1.2%) 1 (25.0%) Sinus thickening 9. Headaches that change significantly 32 (9.7%) 2 (6.3%) Lesion temporal lobe, aneurysm 10.
Usually during the first trimester, obese women can suffer from a progressive, daily headache, aggravated by Valsalva and position change, associated with papilledema and severe visual deficits, together with tinnitus or sixth-nerve palsies, defining the clinical pattern of IIH [30, 37, 50].
Other commonly reported AEs were neurological symptoms, mainly somnolence, headache, aggravated seizures, dizziness, as well as vomiting.
The information provided to the patients may reduce the risk of delayed recognition of medication overuse and delayed treatment if headaches aggravate.
One of the characteristics features of the headache attributed to extra-cranial structures (group-11 of ICHD-3β) is that headache gets aggravated by some provocative procedures (either pressure to tissues or some other manoeuvres) [5].
In the same line, background headache was aggravated by thinking of pain in patients with HC [5].
The pain intensity is mild or moderate and the headache is aggravated by e.g., movement, straining or bending.
We also found that 45.8% of headaches were aggravated by physical activities, a percentage higher than in Caucasian (21.7%) [6] and Taiwanese (7%) [14] patients, but similar to that of patients in Japan (31.0%) [15].
