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Published on: June 2, 2014
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Overlap and Differences in Migraine and Idiopathic Intracranial Hypertension
Sweta Sengupta1, Jaskiran Vidwan2
1Department of Neurology, Duke University, 932 Morreene Road, Durham, 27705, NC, UK. sweta.sengupta@duke.edu.
Current Pain and Headache Reports
|September 1, 2023
Summary
Migraine and idiopathic intracranial hypertension (IIH) share links, with increased intracranial pressure potentially causing migraine-like headaches. Further research is needed to understand this headache pathology and treatment for concurrent conditions.
Area of Science:
- Neurology
- Headache Medicine
Background:
- Migraine and idiopathic intracranial hypertension (IIH) are common neurological disorders.
- Both conditions are increasingly diagnosed but not fully understood.
Purpose of the Study:
- To compare diagnostic criteria, pathophysiology, and risk factors of chronic migraine and IIH.
- To explore the relationship between migraine and IIH.
Main Methods:
- Literature review comparing diagnostic criteria.
- Analysis of pathophysiology and risk factors for both conditions.
Main Results:
- Migraine and IIH are distinct but frequently co-occur.
- Increased intracranial pressure can cause migraine-like headaches and contribute to migraine chronification.
- Normalization of intracranial pressure does not always resolve headaches.
Conclusions:
- Concurrent migraine and IIH advance understanding of headache pathology.
- There is a significant need for more research on these conditions, especially regarding treatment for chronic migraine with IIH without papilledema.
- Controversy exists regarding normal cerebrospinal fluid (CSF) values.
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