Mechanical Insufflation Exsufflation, Syringomyelia, and Headache

John R. Bach, Anam Purewal

Research output: Contribution to journalArticlepeer-review


Mechanical insufflation exsufflation creates cough flows to clear central airways secretions for patients with ineffective cough flows. At times, patients with even potentially effective spontaneous cough flows can have pain that prevents effective coughing. We describe a patient with Arnold-Chiari syndrome, syringomyelia, and hydrocephalus who had nine episodes of pneumonia through the age of 9 yrs, and cough associated headaches, who upon using mechanical insufflation exsufflation had no subsequent pneumonias for at least the next 17 yrs and no headaches when using it for coughing.

Original languageEnglish (US)
Pages (from-to)e129-e130
JournalAmerican Journal of Physical Medicine and Rehabilitation
Issue number9
StatePublished - 2021

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


  • Headache
  • Mechanical Insufflation Exsufflation
  • Mechanical Ventilation
  • Noninvasive Ventilation
  • Noninvasive Ventilatory Support
  • Syringomyelia


Dive into the research topics of 'Mechanical Insufflation Exsufflation, Syringomyelia, and Headache'. Together they form a unique fingerprint.

Cite this