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Current Pain and Headache Reports
Published in: Current Pain and Headache Reports 10/2018

01-10-2018 | Uncommon and/or Unusual Headaches and Syndromes (J Ailani, Section Editor)

Bath-Related Headache

Authors: Aliza Kumpinsky, Stephanie J. Nahas

Published in: Current Pain and Headache Reports | Issue 10/2018

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Abstract

Purpose of Review

The purpose of this review is to summarize the most up-to-date literature on bath-related headache, a rare disorder.

Recent Findings

Initially described in middle-aged Asian women, it is now reported in a wider demographic. More information is available about the pathophysiology of bath-related headache, including its classification as a subtype of reversible cerebral vasoconstriction syndrome (RCVS). Nimodipine can be effective in patients both with and without vasospasm.

Summary

Bath-related headache is a rare form of thunderclap headache. Although its mechanism is still unclear, it is associated with vasospasm and RCVS. Controlled trials investigating the use of nimodipine and other agents may be useful in furthering our understanding of and treatment of this phenomenon.
Literature
1.
• Negoro K, Morimatsu M, Ikuta N, Nogaki H. Benign hot bath-related headache. Headache. J Head Face Pain. 2000;40:173–5. First reported case of bath-related HA. CrossRef
2.
3.
Rossi P, Nappi G. Bath-related headache: the first European case. Cephalalgia. 2006;26:1485–6.CrossRef
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Müngen B, Bulut S. Hot bath-related headache: four cases with headaches occurring after taking a hot bath. Cephalalgia. 2003;23:846–9.CrossRef
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Mak W, Tsang K, Tsoi T, Yeung KA, Chan K, Cheng T, et al. Bath-related headache. Cephalalgia. 2005;25:191–8.CrossRef
6.
Liao Y-C, Fuh J-L, Lirng J-F, Lu S-R, Wu Z-A, Wang S-J. Bathing headache: a variant of idiopathic thunderclap headache. Cephalalgia. 2003;23:854–9.CrossRef
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Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders (3rd edn). Cephalgia. 2018;38:1–211.
8.
•• Wang S-J, Fuh J-L, Wu Z-A, Chen S-P, Lirng J-F. Bath-related thunderclap headache: a study of 21 consecutive patients. Cephalalgia. 2008;28:524–30. Largest case series. CrossRef
9.
Jhang K-M, Lin C-H, Lee K-W, Chen Y-Y. Bath-related headache associated with subarachnoid and intracerebral hemorrhage. Acta Neurol Taiwanica. 2013;22:127–32.
10.
Tanaka R, Ando M, Shimura H, Yamashiro K, Hattori N. Bath-related headache controlled by zolmitriptan. Neurol Clin Neurosci. 2015;3:200–2.CrossRef
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•• Lu S-R, Liao Y-C, Fuh J-L, Lirng J-F, Wang S-J. Nimodipine for treatment of primary thunderclap headache. Neurol. 2004;62:1414–6. Large case series of treatment. CrossRef
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Shelley WB, Shelley E. Aquadynia: noradrenergic pain induced by bathing and responsive to clonidine. J Am Acad Dermatol. 1998;38:357–8.CrossRef
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Lee J, Yun C-H, Chu M-K, Ha C-K. Hot bath-related headache controlled by topiramate. Cephalalgia. 2007;27:465–7.CrossRef
Metadata
Title
Bath-Related Headache
Authors
Aliza Kumpinsky
Stephanie J. Nahas
Publication date
01-10-2018
Publisher
Springer US
Published in
Current Pain and Headache Reports / Issue 10/2018
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-018-0714-4

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