A review of 50 cases of bath-related headache: clinical features and possible diagnostic criteria

Silva‐Néto, Raimundo Pereira

doi:10.1590/0004-282x20180039

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…However, posterior reversible encephalopathy syndrome has been rarely reported in BRH [ 6 ]. In about a third of patients, BRH may be associated with other primary headache disorders such as migraine and tension-type headache [ 3 ]. Why women are almost exclusively affected and the preponderance among Asian populations have been hypothesized to be related to fluctuations or deficiencies in sex hormones and a genetic predisposition [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Bath-related headache (BRH) is a rare headache disorder first described in the year 2000 [ 1 ] and found to predominate among Asian populations, with a high prevalence among women [ 2 ]. A review of all cases of BRH between 2000 and 2017 identified 50 reports from Taiwan (26), China (6), Japan (5), Turkey (4), India (3), Brazil (3), South Korea (1), Spain (1), and France (1) [ 3 ]. Since 2017, there has not been a single report in the English scientific literature.…”

Section: Introductionmentioning

confidence: 99%

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Bath-related headache: a case report

Chang

2023

J Med Case Reports

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bath-related headache: a case report

Chang

2023

J Med Case Reports

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“…Several works with a focus on the adult population described CSH following exposure of the unprotected head to very low environmental temperatures (described also during diving [12], surfing [13], bathing [14] in cold water, skating [15], or receiving cryotherapy [16]); there are no reports on children.…”

Section: Triggers and Type Of Exposurementioning

confidence: 99%

“…Headache following exposure of the unprotected head to a very low environmental temperature (described also during diving [12], surfing [13], bathing [14] in cold water, skating [15], or receiving cryotherapy [16]); • Headache occurring immediately after a cold stimulus to the palate and/or posterior pharyngeal wall from ingestion of cold food, drink, or inhalation of cold air, previously known as "ice-cream headache" and "brain-freeze headache".…”

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confidence: 99%

Cold-Stimulus Headache in Children and Adolescents

Bonemazzi

Pelizza

Berti

et al. 2023

Life

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The literature on cold-stimulus headache (CSH) is relatively sparse compared to other primary headache disorders and the studies on the pediatric population are very limited. This systematic review aims to analyze the evidence on CSH in children and adolescents focusing on epidemiology, clinical features, pathogenic mechanisms, and treatments. Our review included 25 studies, among which 9 papers include pediatric cases (4 pediatric samples, 5 mixed samples of children and adults). The aim of this work is to highlight the features of CSH in children and adolescents. In children, the prevalence of CSH is higher than in adults and it is not gender-specific. There is a relevant family history for CSH and the comorbidity with migraine is significant. The triggers and clinical features of CSH due to ingesting a cold stimulus in children overlap with those in adults. CSH due to external application of a cold stimulus (or to environmentally low temperatures) is not studied in children and adolescents. We describe in detail a new pediatric case of CSH triggered by low ambient temperatures; to the best of our knowledge, this represents the first description in the literature. In conclusion, CSH in children is probably underestimated and has peculiar features compared to adults; further studies are needed to better understand its clinical features and pathophysiology.

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