Differential Diagnosis for Headache with Running
Single Most Likely Diagnosis
- Exertional headache: This is the most likely diagnosis, as it is a common condition characterized by headaches that occur during or after intense physical activity, such as running. The increased intrathoracic pressure and blood pressure during running can lead to headache.
Other Likely Diagnoses
- Dehydration: Running can cause dehydration, especially if the individual does not drink enough water before, during, or after the activity. Dehydration is a common cause of headaches.
- Tension headache: Running can lead to tension in the neck and scalp muscles, which can cause a tension headache.
- Sinus headache: Running can cause sinus pressure and congestion, leading to a headache.
Do Not Miss Diagnoses
- Subarachnoid hemorrhage: Although rare, a subarachnoid hemorrhage can cause a sudden, severe headache during physical activity, including running. It is essential to consider this diagnosis to avoid missing a potentially life-threatening condition.
- Temporal arteritis: This condition can cause headaches, especially in older adults, and can be exacerbated by physical activity.
- Pituitary apoplexy: A rare condition that can cause a sudden, severe headache, often accompanied by visual disturbances and other symptoms.
Rare Diagnoses
- Cardiac cephalalgia: A rare condition where cardiac issues, such as coronary artery disease, cause headaches during physical activity.
- Pharmacological headache: Certain medications, such as nitroglycerin, can cause headaches during physical activity.
- Cervicogenic headache: A rare condition where headaches are caused by referred pain from the cervical spine, which can be exacerbated by running.