The vast majority have a chronic cough, bouts of severe coughing, and evidence of obstructive lung disease.The long-term prognosis of cough syncope depends largely on the prognosis of the underlying condition, but cough syncope itself can result in severe bodily injury, including vertebral artery dissection.Īlthough apparently known to British physician William Heberden (1710 to 1801) in the late 18th century ( 44), French neurologist Jean-Martin Charcot (1825 to 1893) first clearly described cough syncope in the 1870s and labeled it “laryngeal vertigo” ( 16 17).Smoking cessation is closely associated with decreased symptoms and should be strongly encouraged.Management of cough syncope focuses on treatment of the cough (eg, bronchodilators and antitussives) and the underlying conditions, but cardiac function, blood pressure, blood volume, reflex-mediated changes, and extracranial vascular patency may all require separate management. ![]()
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