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Primary Exercise Headache. [Review]

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Citation: Current Neurology & Neuroscience Reports. 20(5):9, 2020 04 15.PMID: 32296942Institution: MedStar Washington Hospital CenterDepartment: NeurologyForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Headache Disorders, Primary | *Migraine Disorders | Exercise | Female | Headache/di [Diagnosis] | Headache/ep [Epidemiology] | Headache/th [Therapy] | Humans | IndomethacinYear: 2020 ISSN:

1528-4042

Name of journal: Current neurology and neuroscience reportsAbstract: PURPOSE OF REVIEW: Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. Its presentation can remain vague, often confused with other primary and secondary headache disorders and thus undertreated. This review aims to discuss primary exercise headache in the context of epidemiology, presentation, pathophysiology, differential diagnosis, and treatment.RECENT FINDINGS: Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. Indomethacin and beta-blocker use remain the mainstays of treatment based on case series with several case reports that urge caution when diagnosing said headache.All authors: Ailani J, Nandyala A, Upadhyaya POriginally published: Current Neurology & Neuroscience Reports. 20(5):9, 2020 Apr 15.Fiscal year: FY2020Digital Object Identifier:

Date added to catalog: 2020-07-09

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Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	32296942	Available		32296942

PURPOSE OF REVIEW: Primary exercise headache has gone through many descriptors in the past but generally is a headache that is precipitated by strenuous exercise without significant intracranial pathology. Its presentation can remain vague, often confused with other primary and secondary headache disorders and thus undertreated. This review aims to discuss primary exercise headache in the context of epidemiology, presentation, pathophysiology, differential diagnosis, and treatment.

RECENT FINDINGS: Two large epidemiological studies in Iran and Japan have further characterized a predilection for female patients, comorbidity with migraine, and frequent bilateral nature of headache. While large-scale epidemiological studies have aided in further characterization and determining varying prevalence, a lack of randomized clinical trials in the treatment of primary exercise headache remains. Indomethacin and beta-blocker use remain the mainstays of treatment based on case series with several case reports that urge caution when diagnosing said headache.

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