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Secondary headaches attributed to arterial hypertension
Farhad Assarzadegan1, Mostafa Asadollahi, Omid Hesami
1Assistant Professor, Department of Neurology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Iranian Journal of Neurology
|November 20, 2013
Summary
Mild to moderate chronic hypertension does not typically cause headaches. However, severe, sudden blood pressure spikes from specific conditions can lead to secondary headaches, which this review examines.
Area of Science:
- Neurology
- Cardiology
- Nephrology
Background:
- Mild (140-159/90-99 mmHg) and moderate (160-179/100-109 mmHg) chronic arterial hypertension are common conditions.
- The relationship between chronic hypertension and headache is not well-established, with limited evidence suggesting a causal link.
Purpose of the Study:
- To review secondary headaches associated with acute hypertensive crises.
- To outline diagnostic criteria for hypertension-related headaches.
Main Methods:
- Literature review of studies on hypertension and headaches.
- Analysis of conditions causing abrupt, severe blood pressure elevations.
Main Results:
- No convincing relationship found between blood pressure fluctuations in mild/moderate hypertension and headache presence.
- Headaches are linked to disorders causing paroxysmal hypertensive crises.
Conclusions:
- Chronic mild to moderate hypertension is unlikely to cause headaches.
- Secondary headaches arise from acute hypertensive crises, including those related to pheochromocytoma, hypertensive encephalopathy, pre-eclampsia, eclampsia, and exogenous agents.
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