title: Wind instruments and headaches.
abstract: The authors illustrate the cases of two children with headaches, one diagnosed with Chiari type 1 malformation and the other with hydrocephalus, who played wind instruments. Both patients manifested that their headaches worsened with the efforts made during playing their musical instruments. We briefly comment on the probable role played by this activity on the patients' intracranial pressure and hypothesize that the headaches might be influenced by increases in their intracranial pressure related to Valsalva maneuvers. We had serious doubts on if we should advise our young patients about giving up playing their music instruments.
authors.affiliation: Regional Service of Neurosurgery, Virgen de la Arrixaca University Hospital, 30120 El Palmar, Murcia, Spain. juanf.martinezlage@cablemurcia.com
authors.forename: Juan F
authors.initials: JF
authors.lastname: Martínez-Lage
authors.forename: Marcelo
authors.initials: M
authors.lastname: Galarza
authors.forename: Miguel-Angel
authors.initials: MA
authors.lastname: Pérez-Espejo
authors.forename: Antonio L
authors.initials: AL
authors.lastname: López-Guerrero
authors.forename: Matías
authors.initials: M
authors.lastname: Felipe-Murcia
mesh_terms: D001139:Arnold-Chiari Malformation / Q000150:complications* / Q000175:diagnosis; D002648:Child; D006261:Headache / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D006849:Hydrocephalus / Q000150:complications* / Q000175:diagnosis; D007427:Intracranial Pressure; D008297:Male; D009146:Music; D014636:Valsalva Maneuver