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Increased Intracranial Pressure l: Introduction01:14

Increased Intracranial Pressure l: Introduction

Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Increased Intracranial Pressure ll: Pathophysiology01:29

Increased Intracranial Pressure ll: Pathophysiology

Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
Angle Closure Glaucoma: Treatment01:28

Angle Closure Glaucoma: Treatment

Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
Cerebral Edema l: Introduction01:19

Cerebral Edema l: Introduction

Cerebral edema is a pathological increase in brain water content that disrupts intracranial pressure regulation and impairs neurological function. Because the cranial vault is rigid, even modest increases in tissue volume can compromise cerebral perfusion, distort neural structures, and initiate secondary injury. Cerebral edema develops through four principal mechanisms: vasogenic, cytotoxic, interstitial, and ionic.Vasogenic EdemaVasogenic edema arises from disruption of the blood–brain...

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Related Experiment Video

Updated: May 8, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

Cluster headache.

Jacqueline Weaver-Agostoni1

  • 1University of Pittsburgh Medical Center Shadyside Hospital, Pittsburgh, PA 15232, USA. Jackie. weaver@gmail.com

American Family Physician
|August 14, 2013
PubMed
Summary
This summary is machine-generated.

Cluster headache causes severe unilateral pain with autonomic symptoms. Treatments include oxygen, triptans for acute episodes, and verapamil for prophylaxis, with surgery for refractory cases.

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Last Updated: May 8, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Cluster headache is a severe neurological disorder characterized by unilateral orbital, supraorbital, or temporal pain.
  • Attacks occur in clusters, lasting 15-180 minutes, and are accompanied by ipsilateral cranial autonomic symptoms.
  • The condition affects men more frequently, typically starting between ages 20-40, and can be episodic or chronic.

Purpose of the Study:

  • To review the clinical presentation, pathophysiology, and current treatment strategies for cluster headache.
  • To highlight evidence-based acute and prophylactic therapies for both episodic and chronic forms of the disorder.

Main Methods:

  • Review of existing literature on cluster headache pathophysiology and treatment.
  • Analysis of evidence supporting various acute and prophylactic interventions.

Main Results:

  • Acute treatment options include supplemental oxygen, sumatriptan, and zolmitriptan.
  • Verapamil is a first-line prophylactic therapy for both episodic and chronic cluster headache.
  • Nerve stimulation and surgical interventions are considered for refractory cases.

Conclusions:

  • Effective management of cluster headache involves trigger avoidance, acute abortive therapies, and prophylactic treatments.
  • Verapamil and triptans are key pharmacotherapies, while advanced options exist for severe, refractory disease.