Cold stimulus headache (CSH)

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cold stimulus headache (CSH). This is headache triggered by application of a cold stimulus. Fully referenced neurology checklist.

Pathogenesis

  • This is headache triggered by application of a cold stimulus
  • The stimulus may be applied to the head, ingested or inhaled
  • This probably provokes cerebral vascoconstriction

Types

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Epidemiological risk factors

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Activity risk factors

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Onset features

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Headache features

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Possible associated features

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Synonyms

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References

  1. Bonemazzi I, Pelizza MF, Berti G, et al. Cold-stimulus headache in children and adolescents. Life (Basel) 2023; 13:973.
  2. Sleigh JW. Ice cream headache. Cerebral vasoconstriction causing decrease in arterial flow may have role. BMJ 1997; 315:609. 
  3. Fuh JL, Wang SJ, Lu SR, Juang KD. Ice-cream headache-a large survey of 8359 adolescents. Cephalalgia 2003; 23:977-981.
  4. Selekler HM, Erdogan MS, Budak F. Prevalence and clinical characteristics of an experimental model of 'ice-cream headache' in migraine and episodic tension-type headache patients. Cephalalgia 2004; 24:293-297.
  5. Zierz AM, Mehl T, Kraya T, Wienke A, Zierz S. Ice cream headache in students and family history of headache: a cross-sectional epidemiological study. J Neurol 2016; 263:1106-1110. 
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