Overlap and Differences in Migraine and Idiopathic Intracranial Hypertension

被引:5
作者
Sengupta, Sweta [1 ]
Vidwan, Jaskiran [1 ]
机构
[1] Duke Univ, Dept Neurol, 932 Morreene Rd, Durham, NC 27705 USA
关键词
Migraine; Idiopathic intracranial hypertension; Chronic migraine; Idiopathic intracranial hypertension without papilledema; CLINICAL-FEATURES; HEADACHE; PRESSURE; PATHOPHYSIOLOGY; PREVALENCE; ACETAZOLAMIDE; EPIDEMIOLOGY; PAPILLEDEMA;
D O I
10.1007/s11916-023-01166-7
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Purpose of ReviewMigraine and idiopathic intracranial hypertension (IIH) are increasingly encountered but remain enigmatic. This review compares the similarities and differences of the diagnostic criteria, pathophysiology, and risk factors for chronic migraine and IIH.Recent FindingsWhile migraine and IIH are distinct diseases, both conditions are frequently found concurrently and may share a link. Increased intracranial pressure (ICP) in those with or without pre-existing migraine may present with migraine-like headaches and contribute to migraine chronification. Increased intracranial pressure may be a coincidental occurrence in patients with migraine and normalization of pressure does not always translate to headache improvement. Limited information is available regarding the standard of treatment for patients with chronic migraine and IIH without papilledema.SummaryThere continues to be controversy over the normal range of cerebral spinal fluid (CSF) values. Recognizing the concurrence of both conditions advances our understanding of headache pathology and demonstrates a striking need for more research.
引用
收藏
页码:653 / 662
页数:10
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