眼部加压可中止良性咳嗽性头痛

Ocular compression maneuver aborts benign cough-induced headache

Benign cough- induced headache is a short- lasting cranial discomfort. The therapeutic role of lumbar puncture (LP) or indomethacin in benign patients with benign cough- induced headache patients is debatable. Transient ocular compres sion (OC) raises intraocular pressure (IOP) and can limit the impact of cough- induced choroidal venous congestion. A self- applied maneuver that instantaneou sly aborts cough- induced headache is described in two patients. The effect of this maneuver supports a recent hypothesis that cough- induced headache may be due to ocular choroidal venous congestion and mechanical antidromic trigeminal n erve activation. The OC maneuver has several potential complications and its sel f- application in benign cough- induced headache should be regarded as an expe rimental procedure until more data regarding its efficacy and safety become avai lable.