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Paediatric primary cough headache with internal jugular phlebectasia
  1. Yuko Omata1,
  2. Yoshiko Takahashi1,
  3. Tomoko Nakazawa1 and
  4. Taku Omata2
  1. 1Department of Pediatrics, Seikeikai Chiba Medical Center, Chiba, Japan
  2. 2Division of Child Neurology, Chiba Children's Hospital, Chiba, Japan
  1. Correspondence to Dr Yuko Omata; omatonntonn{at}


Primary cough headaches (PCHs) are mainly observed in people aged >40 years, but cough-induced headaches are potentially symptomatic in children. We report a case of a child diagnosed with PCH without an intracranial disease. A 7-year-old boy presented with cough due to pertussis and powerful cough-induced headaches. No brain abnormalities were detected, but the right side of his neck was observed to swell. Echo examination confirmed right internal jugular vein dilatation during a Valsalva manoeuvre, and the patient was diagnosed with PCH with internal jugular phlebectasia. PCHs are normally reported in adults, but they can also occur in children. PCHs and internal jugular vein abnormalities may be related. Thus, tests assessing internal jugular vein morphology and function should be considered for PCH cases.

  • headache (including migraines)
  • paediatrics

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  • Contributors Conceptualisation: YO. Writing—original draft preparation: YO. Writing—review and editing: YO, YT, TN, TO. Supervision: TO.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.