TY - JOUR
T1 - Headaches in Idiopathic Intracranial Hypertension
AU - Friedman, Deborah I.
N1 - Publisher Copyright:
© North American Neuro-Ophthalmology Society.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - Background:Headache is the most common symptom of idiopathic intracranial hypertension (IIH) and may not resolve with intracranial pressure-lowering treatments. Many patients with IIH have a pre-existing history of migraine. Approximately two-thirds of patients with IIH continue to experience headaches after the other manifestations of the disorder resolve. There are no evidence-based guidelines for treating IIH-related headaches.Evidence Acquisition:This review proposes mechanisms by which IIH produces both acute and ongoing headache. The article analyzes the literature regarding medical and procedural therapies for IIH, apropos to their effectiveness for treating headaches. It then proposes strategies to use in clinical practice, incorporating treatments used for the primary headache disorders of migraine and tension-type headache, the most common phenotypes of IIH-associated headache.Conclusions:Treatments used to manage primary headache disorders may be effective in the management of IIH-associated headache, although none have been specifically studied in this condition.Results:Recommendations provided consider a holistic approach to the problem based on existing guidelines and clinical experience.
AB - Background:Headache is the most common symptom of idiopathic intracranial hypertension (IIH) and may not resolve with intracranial pressure-lowering treatments. Many patients with IIH have a pre-existing history of migraine. Approximately two-thirds of patients with IIH continue to experience headaches after the other manifestations of the disorder resolve. There are no evidence-based guidelines for treating IIH-related headaches.Evidence Acquisition:This review proposes mechanisms by which IIH produces both acute and ongoing headache. The article analyzes the literature regarding medical and procedural therapies for IIH, apropos to their effectiveness for treating headaches. It then proposes strategies to use in clinical practice, incorporating treatments used for the primary headache disorders of migraine and tension-type headache, the most common phenotypes of IIH-associated headache.Conclusions:Treatments used to manage primary headache disorders may be effective in the management of IIH-associated headache, although none have been specifically studied in this condition.Results:Recommendations provided consider a holistic approach to the problem based on existing guidelines and clinical experience.
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U2 - 10.1097/WNO.0000000000000777
DO - 10.1097/WNO.0000000000000777
M3 - Article
C2 - 30762716
AN - SCOPUS:85061567487
SN - 1070-8022
VL - 39
SP - 82
EP - 93
JO - Journal of Neuro-Ophthalmology
JF - Journal of Neuro-Ophthalmology
IS - 1
ER -