To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Although other primary headache disorders such as cough headache, exercise headache, headache associated with sexual activity, thunderclap headache, hypnic headache, and new daily persistent headache are less common than migraine and tension-type headache, these disorders can be severe, disabling, and misdiagnosed. A good proportion of them coexist with other primary headache disorders. In addition, they may be associated with underlying structural pathology, and it is paramount that they are investigated for secondary causes. Diagnosis of the other primary headache disorders requires exclusion of secondary mimics, as stipulated in the International Classification of Headache Disorders, third edition beta version . Treatment and prognosis are dependent on the diagnosis, and the majority are indomethacin responsive.
This chapter reviews the epidemiology, clinical features, pathophysiology, and management of these less common headache disorders that may present to the emergency department (ED).
Summary of epidemiology and headache features in other primary headache disorders
Primary cough headache
Primary exercise headache
Primary headache associated with sexual activity
Primary thunderclap headache
New daily persistent headache
43/100,000 per year
Age of onset
M > F
M > F
M > F
F > M
F > M
Gradual or explosive
Abrupt, wakes patient from sleep
Starts within 24 hours
Dull, diffuse, pulsatile
Dull and with increasing intensity with sexual activity orSevere in intensity, throbbing
Tension or migraine phenotype
Unilateral or generalized
Seconds to minutes
Minutes to hours
Hours to few days
Minutes to few hours
Daily and continuous for ≥3 months
Sustained physical exertionShort burst of physical exertion
Sleep (120–480 min into sleep)
Antecedent viral illnessCranial surgeryMenarcheStressful life events
Email your librarian or administrator to recommend adding this to your organisation's collection.