Bath-related headache: a case report
Abstract Background Bath-related headache (BRH) is a rare primary headache disorder with only about 50 cases reported from 2000 to 2017 and none since. It is an abrupt onset excruciating headache occurring predominantly in middle-aged Asian women, most commonly following exposure to hot water. This...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-06-01
|
| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-023-03960-8 |
| _version_ | 1827933323388780544 |
|---|---|
| author | Thashi Chang |
| author_facet | Thashi Chang |
| author_sort | Thashi Chang |
| collection | DOAJ |
| description | Abstract Background Bath-related headache (BRH) is a rare primary headache disorder with only about 50 cases reported from 2000 to 2017 and none since. It is an abrupt onset excruciating headache occurring predominantly in middle-aged Asian women, most commonly following exposure to hot water. This is the first report in a Sri Lankan woman. Case presentation A 60-year-old Sri Lankan woman presented with an abrupt onset, severe throbbing holocephalic headache immediately following a hot-water shower. The headache was not associated with photo- or phonophobia, nausea, or vomiting, and she did not report a past history of migraine. However, she had experienced a similar headache 2 years previously precipitated by a hot-water shower. Her neurological examination, blood investigations, and magnetic resonance imaging of brain and intracranial vessels were normal. She was treated with opioid and nonsteroidal antiinflammatory drug analgesics, but the headache resolved only after treatment with nimodipine. The headache did not recur during a follow-up of 2 years since she avoided hot-water showers. Conclusions Bath-related headache is a thunderclap primary headache disorder with a benign prognosis, but its recognition requires awareness to differentiate it from subarachnoid hemorrhage. It warrants inclusion in the International Classification of Headache Disorders. |
| first_indexed | 2024-03-13T07:24:15Z |
| format | Article |
| id | doaj.art-5dc4def43f23415a9c4f6b26b3f1f1cc |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-03-13T07:24:15Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-5dc4def43f23415a9c4f6b26b3f1f1cc2023-06-04T11:29:50ZengBMCJournal of Medical Case Reports1752-19472023-06-011711310.1186/s13256-023-03960-8Bath-related headache: a case reportThashi Chang0Department of Clinical Medicine, Faculty of Medicine, University of ColomboAbstract Background Bath-related headache (BRH) is a rare primary headache disorder with only about 50 cases reported from 2000 to 2017 and none since. It is an abrupt onset excruciating headache occurring predominantly in middle-aged Asian women, most commonly following exposure to hot water. This is the first report in a Sri Lankan woman. Case presentation A 60-year-old Sri Lankan woman presented with an abrupt onset, severe throbbing holocephalic headache immediately following a hot-water shower. The headache was not associated with photo- or phonophobia, nausea, or vomiting, and she did not report a past history of migraine. However, she had experienced a similar headache 2 years previously precipitated by a hot-water shower. Her neurological examination, blood investigations, and magnetic resonance imaging of brain and intracranial vessels were normal. She was treated with opioid and nonsteroidal antiinflammatory drug analgesics, but the headache resolved only after treatment with nimodipine. The headache did not recur during a follow-up of 2 years since she avoided hot-water showers. Conclusions Bath-related headache is a thunderclap primary headache disorder with a benign prognosis, but its recognition requires awareness to differentiate it from subarachnoid hemorrhage. It warrants inclusion in the International Classification of Headache Disorders.https://doi.org/10.1186/s13256-023-03960-8Hot waterAsianThunderclapHeadache |
| spellingShingle | Thashi Chang Bath-related headache: a case report Journal of Medical Case Reports Hot water Asian Thunderclap Headache |
| title | Bath-related headache: a case report |
| title_full | Bath-related headache: a case report |
| title_fullStr | Bath-related headache: a case report |
| title_full_unstemmed | Bath-related headache: a case report |
| title_short | Bath-related headache: a case report |
| title_sort | bath related headache a case report |
| topic | Hot water Asian Thunderclap Headache |
| url | https://doi.org/10.1186/s13256-023-03960-8 |
| work_keys_str_mv | AT thashichang bathrelatedheadacheacasereport |