The relationship between idiopathic intracranial hypertension and stenosis of the transverse sinus (TS) has already been described in the past (Johnston et al. 2002; Farb et al. 2003). Venous sinus stenting, as a possible method of therapy, has also been reported (Higgins et al. 2002; Tsumoto et al. 2003). More recently, the association of bilateral stenosis of transverse sinus and migraine has been emphasized by some authors (Bono et al. 2006; De Simone et al. 2012; Fofi et al. 2012). Other authors (Donnet et al. 2013) have reported a study in patients with a special type of headache provoked by several triggering factors such as cough, physical exertion, and sexual activity, well known as a primary cough, exertional, and sexual activity headache (Headache Classification 2004). In many of these patients examined with MR and MR-venography, stenosis of TS and/or IJV was detected. The authors discussed the possibility that headache could be due to the association of a preexistent asymptomatic idiopathic intracranial hypertension which could be increased by cough and physical or sexual activity favored by the preexistent venous abnormalities.