Headache Management in Idiopathic Intracranial Hypertension

Courtney E. Francis, MD; Peter A. Quiros, MD


Int Ophthalmol Clin. 2014;54(1):103-114. 

In This Article


If there is 1 characteristic feature of the recurrent or persistent headache in patients with normal or low ICP, it is that these headaches are different from the "IIH headache" that was present during the presentation. Thus, a careful headache history focusing on the characteristics of the headache must be obtained. The characteristics of the patient's posttreatment headache should be carefully compared with those of the pretreatment headache. The ICHD-II criteria should be applied as strictly as possible to determine the headache phenotype, as phenotypic classification will guide management. Tension-type headache, migraine without aura, and chronic daily headache phenotypes are most common.