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High-pressure headaches, low-pressure syndromes, and CSF leaks: diagnosis and management.
- Source :
-
Headache [Headache] 2014 Feb; Vol. 54 (2), pp. 394-401. Date of Electronic Publication: 2014 Jan 16. - Publication Year :
- 2014
-
Abstract
- Background: Headache resulting from idiopathic intracranial hypertension (IIH) in a population of moderately to obese women of childbearing age. The causes overall remain unclear. With this review, we provide an overview of clinical treatment and management strategies.<br />Results: IIH management is dependent on the signs and symptoms presented. Symptomatic treatment should attempt to lower intracranial pressure, reduce pain, and protect the optic nerves. Consideration for lumbar puncture and draining fluid as an option for reducing pressure may be helpful; however, repeated treatment is not usually favored by patients. Traditional prophylactic medications used in migraine may help reduce the primary headache often induced by raised intracranial pressure. We suggested surgical intervention for patients experiencing visual loss or impending visual loss and not responding to medication therapy.<br />Conclusion: In this review, we discuss headache associated with IIH and spontaneous intracranial hypotension. Much needs to be learned about treatment options for patients with cerebrospinal fluid leaks including methods to strengthen the dura.<br /> (© 2014 American Headache Society.)
- Subjects :
- Adrenal Cortex Hormones therapeutic use
Analgesics therapeutic use
Cerebrospinal Fluid Leak
Cerebrospinal Fluid Rhinorrhea physiopathology
Headache etiology
Humans
Intracranial Hypotension physiopathology
Intracranial Pressure physiology
Pseudotumor Cerebri physiopathology
Treatment Outcome
Ventriculoperitoneal Shunt
Cerebrospinal Fluid Rhinorrhea complications
Headache diagnosis
Headache therapy
Intracranial Hypotension complications
Pseudotumor Cerebri complications
Subjects
Details
- Language :
- English
- ISSN :
- 1526-4610
- Volume :
- 54
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Headache
- Publication Type :
- Academic Journal
- Accession number :
- 24433511
- Full Text :
- https://doi.org/10.1111/head.12283