Orthostatic headache: Difference between revisions
CSV import |
CSV import |
||
| Line 1: | Line 1: | ||
{{SI}} | |||
{{Infobox medical condition | |||
| name = Orthostatic headache | |||
| image = [[File:Blausen_0216_CerebrospinalSystem.png|250px]] | |||
| caption = Diagram of the [[cerebrospinal fluid]] system | |||
| field = [[Neurology]] | |||
| symptoms = Headache that worsens when standing or sitting upright | |||
| onset = Sudden or gradual | |||
| duration = Varies, often persistent | |||
| causes = [[Cerebrospinal fluid leak]], [[Postural orthostatic tachycardia syndrome]] | |||
| risks = [[Spinal tap]], [[Trauma]], [[Connective tissue disorders]] | |||
| diagnosis = [[Clinical evaluation]], [[MRI]], [[CT myelography]] | |||
| differential = [[Migraine]], [[Tension headache]], [[Cluster headache]] | |||
| treatment = [[Bed rest]], [[Caffeine]], [[Epidural blood patch]] | |||
| prognosis = Varies, often good with treatment | |||
| frequency = Rare | |||
}} | |||
'''Orthostatic headache''' is a medical condition characterized by a headache that occurs when a person stands up and improves when they lie down. This condition is often associated with [[low cerebrospinal fluid (CSF) pressure]], also known as [[spontaneous intracranial hypotension]] or [[SIH]]. | '''Orthostatic headache''' is a medical condition characterized by a headache that occurs when a person stands up and improves when they lie down. This condition is often associated with [[low cerebrospinal fluid (CSF) pressure]], also known as [[spontaneous intracranial hypotension]] or [[SIH]]. | ||
== Symptoms == | == Symptoms == | ||
The primary symptom of an orthostatic headache is a headache that worsens upon standing and improves upon lying down. Other symptoms may include [[nausea]], [[vomiting]], [[neck pain]], [[tinnitus]], changes in hearing, and [[dizziness]]. | The primary symptom of an orthostatic headache is a headache that worsens upon standing and improves upon lying down. Other symptoms may include [[nausea]], [[vomiting]], [[neck pain]], [[tinnitus]], changes in hearing, and [[dizziness]]. | ||
== Causes == | == Causes == | ||
Orthostatic headaches are most commonly caused by a decrease in CSF pressure. This can occur due to a spontaneous CSF leak, which can occur without a known cause, or due to a traumatic event, such as a lumbar puncture. | Orthostatic headaches are most commonly caused by a decrease in CSF pressure. This can occur due to a spontaneous CSF leak, which can occur without a known cause, or due to a traumatic event, such as a lumbar puncture. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of orthostatic headache involves a thorough medical history and physical examination. Additional tests may include a [[magnetic resonance imaging (MRI)]] scan, a [[computed tomography (CT)]] scan, or a [[lumbar puncture]] to measure CSF pressure. | Diagnosis of orthostatic headache involves a thorough medical history and physical examination. Additional tests may include a [[magnetic resonance imaging (MRI)]] scan, a [[computed tomography (CT)]] scan, or a [[lumbar puncture]] to measure CSF pressure. | ||
== Treatment == | == Treatment == | ||
Treatment for orthostatic headache depends on the underlying cause. If a CSF leak is identified, treatment may involve bed rest, hydration, and caffeine. In some cases, a procedure known as an [[epidural blood patch]] may be performed to seal the leak. If no leak is identified, treatment may involve medications to increase CSF production or to reduce pain. | Treatment for orthostatic headache depends on the underlying cause. If a CSF leak is identified, treatment may involve bed rest, hydration, and caffeine. In some cases, a procedure known as an [[epidural blood patch]] may be performed to seal the leak. If no leak is identified, treatment may involve medications to increase CSF production or to reduce pain. | ||
== See also == | == See also == | ||
* [[Headache]] | * [[Headache]] | ||
| Line 18: | Line 30: | ||
* [[Tension headache]] | * [[Tension headache]] | ||
* [[Cluster headache]] | * [[Cluster headache]] | ||
== References == | == References == | ||
<references /> | <references /> | ||
{{stub}} | {{stub}} | ||
[[Category:Headaches]] | [[Category:Headaches]] | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
[[Category:Symptoms and signs: cognition, perception, emotional state and behaviour]] | [[Category:Symptoms and signs: cognition, perception, emotional state and behaviour]] | ||
Latest revision as of 22:08, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Orthostatic headache | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Headache that worsens when standing or sitting upright |
| Complications | N/A |
| Onset | Sudden or gradual |
| Duration | Varies, often persistent |
| Types | N/A |
| Causes | Cerebrospinal fluid leak, Postural orthostatic tachycardia syndrome |
| Risks | Spinal tap, Trauma, Connective tissue disorders |
| Diagnosis | Clinical evaluation, MRI, CT myelography |
| Differential diagnosis | Migraine, Tension headache, Cluster headache |
| Prevention | N/A |
| Treatment | Bed rest, Caffeine, Epidural blood patch |
| Medication | N/A |
| Prognosis | Varies, often good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Orthostatic headache is a medical condition characterized by a headache that occurs when a person stands up and improves when they lie down. This condition is often associated with low cerebrospinal fluid (CSF) pressure, also known as spontaneous intracranial hypotension or SIH.
Symptoms[edit]
The primary symptom of an orthostatic headache is a headache that worsens upon standing and improves upon lying down. Other symptoms may include nausea, vomiting, neck pain, tinnitus, changes in hearing, and dizziness.
Causes[edit]
Orthostatic headaches are most commonly caused by a decrease in CSF pressure. This can occur due to a spontaneous CSF leak, which can occur without a known cause, or due to a traumatic event, such as a lumbar puncture.
Diagnosis[edit]
Diagnosis of orthostatic headache involves a thorough medical history and physical examination. Additional tests may include a magnetic resonance imaging (MRI) scan, a computed tomography (CT) scan, or a lumbar puncture to measure CSF pressure.
Treatment[edit]
Treatment for orthostatic headache depends on the underlying cause. If a CSF leak is identified, treatment may involve bed rest, hydration, and caffeine. In some cases, a procedure known as an epidural blood patch may be performed to seal the leak. If no leak is identified, treatment may involve medications to increase CSF production or to reduce pain.
See also[edit]
References[edit]
<references />
