Headache secondary to an unusual Valsalva manoeuvre in a migrainous patient with cacosmia

Neurol Sci. 2012 Feb;33(1):103-5. doi: 10.1007/s10072-011-0513-8. Epub 2011 Mar 16.


We present the case of a 48-year old female patient with a history of migraine without aura, who also reported a headache triggered by a Valsalva manoeuvre, peculiarly performed with her head bent forward below her knees. By this position, she could obtain temporary relief from a persistent cacosmia of unknown etiology that had developed about 20 years earlier. A possible pathogenic mechanism for this headache is proposed.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Headache / etiology*
  • Headache / physiopathology
  • Humans
  • Migraine Disorders / complications*
  • Migraine Disorders / physiopathology
  • Olfaction Disorders / complications*
  • Olfaction Disorders / physiopathology
  • Valsalva Maneuver / physiology*