Sengupta Sweta, Vidwan Jaskiran
Department of Neurology, Duke University, 932 Morreene Road, Durham, 27705, NC, UK.
Curr Pain Headache Rep. 2023 Nov;27(11):653-662. doi: 10.1007/s11916-023-01166-7. Epub 2023 Sep 1.
Migraine and idiopathic intracranial hypertension (IIH) are increasingly encountered but remain enigmatic. This review compares the similarities and differences of the diagnostic criteria, pathophysiology, and risk factors for chronic migraine and IIH.
While migraine and IIH are distinct diseases, both conditions are frequently found concurrently and may share a link. Increased intracranial pressure (ICP) in those with or without pre-existing migraine may present with migraine-like headaches and contribute to migraine chronification. Increased intracranial pressure may be a coincidental occurrence in patients with migraine and normalization of pressure does not always translate to headache improvement. Limited information is available regarding the standard of treatment for patients with chronic migraine and IIH without papilledema. There continues to be controversy over the normal range of cerebral spinal fluid (CSF) values. Recognizing the concurrence of both conditions advances our understanding of headache pathology and demonstrates a striking need for more research.
偏头痛和特发性颅内高压（IIH）越来越常见，但仍难以捉摸。本综述比较了慢性偏头痛和IIH在诊断标准、病理生理学及危险因素方面的异同。
虽然偏头痛和IIH是不同的疾病，但二者常同时出现且可能存在关联。无论有无既往偏头痛病史，颅内压（ICP）升高均可表现为偏头痛样头痛，并促使偏头痛慢性化。颅内压升高在偏头痛患者中可能是偶然发生的情况，而且压力恢复正常并不总是意味着头痛症状改善。关于无视乳头水肿的慢性偏头痛和IIH患者的治疗标准，现有信息有限。脑脊液（CSF）值的正常范围仍存在争议。认识到这两种情况的并存有助于我们对头痛病理的理解，并凸显了开展更多研究的迫切需求。
