rss
Pract Neurol 2:192-197 doi:10.1046/j.1474-7766.2002.00072.x
  • Review Article

Low CSF Volume (Pressure) Headache

  1. Peter J Goadsby*,
  2. Christopher Boes*,
  3. Cathie LM Sudlow
  1. *Headache Group, Institute of Neurology, The National Hospital for Neurology and Neurosurgery, Queen Square, London, Email: peter{at}ion.ucl.ac.uk;
  2. Mayo Clinic Department of Neurology, Rochester, MN, USA;
  3. Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK

      Abstract

      The syndrome of persistent low cerebrospinal fluid (CSF) volume (pressure) headache is an important diagnosis for neurologists and others not to miss, because it is a treatable cause of disabling headache. It forms part of the more general diagnostic rubric of New Daily Persistent Headache (NDPH), the key feature of which is a new headache that develops over one or just a few days, and then persists (Li & Rozen 2002). This presentation should trigger a consideration of the differential diagnosis of NDPH (Table 1), particularly of treatable causes for the syndrome. Low CSF volume (pressure) headache is a very good example of this clinical phenotype.

      PATHOPHYSIOLOGY

      While the concept of low CSF volume (pressure) headache may seem simple enough on the surface, it has some complexities. The pain is generally considered to be due to traction on pain-producing intracranial structures – large vessels, large venous sinuses and dura mater. Indeed


      Free sample
      This issue is free to all users to allow everyone the opportunity to see the full scope and typical content of Practical Neurology.
      View free sample issue >>

      Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

      Navigate This Article