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To define a new subtype of chronic daily headache among females with a particular age group.
In early menopausal age, the frequency of headache in women's is
usually changed during the whole period. Most had a history of migraine, but
their migraines had typically been under good control or even stopped when they
presented with a new headache syndrome. In this research, Rozen et al defined a
new subtype of chronic daily headache appeared to be caused by a state of
elevated cerebrospinal fluid (CSF) pressure.
To define a new subtype of chronic daily headache among females with
a particular age group.
This is the case series that involved eight patients. The
average age of origin of this headache is 57 years. All subjects were either
perimenopausal or in menopause during the beginning of headaches.
The syndrome is characterised by bilateral head pain that
begins periodically from the onset and is particularly at its most critical
intensity the first thing in the morning prior to awaking or while in the
supine position. Instantaneous worsening in Trendelenburg seemed to be a
diagnostic test for the syndrome and appeared in all participants. Many
participants showed a history of episodic migraine, although the migraines were
either very well managed or had stopped by the time the new headache emerged.
The six out of the eight subjects were either obese or overweight, but two
participants were of normal body mass index (BMI). No abnormalities were
noticed during the neuroimaging. All participants answered to cerebrospinal
fluid (CSF) pressure-/volume-lowering medicines, although only one subject was
capable of tapering off therapy without headache recurrence completely.
This recently established subtype of chronic daily
headache seems to be induced by a state of raised CSF pressure. It is assumed
that a combination of the presence of cerebral venous insufficiency and an
increased BMI starts this pattern of daily headache.
Womens Health (Larchmt). 2017 Sep 25
A New Subtype of Chronic Daily Headache Presenting in Older Women
Todd D. Rozen et al.
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