Diagnosing Pressure Headaches vs. CSF Leaks

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Key Questions
  • Why is low-pressure headache misdiagnosed as chronic migraine?
  • What is postural headache?
  • What exactly is cerebral spinal fluid (CSF)?
  • What are high- and low-pressure headaches?
  • What are the risk factors for high- and low-pressure headaches?
  • What are the symptoms of high-pressure headache (pseudotumor cerebri or idiopathic intracranial hypertension)?
  • What is papilledema and how is it used to diagnose high-pressure headache?
  • What is a spinal tap?
  • How is high-pressure headache treated?
  • What is low-pressure headache (spontaneous intracranial hypotension, or SIH)?
  • What are the treatments for low pressure, or SIH?
Interview Notes

Find more about Deborah Friedman, MD, MPH, FAAN and her work here:

Deborah Friedman

Deborah Friedman, MD, MPH, FAAN

Professor of Neurology & Ophthalmology
UT Southwestern

Deborah I. Friedman, M.D., M.P.H., is a professor in the department of neurology and the department of ophthalmology at the UT Southwestern Medical Center. A neuro-ophthalmologist, Dr. Friedman is chief of the division of headache medicine, and the founding director of UT Southwestern’s Headache and Facial Pain Program.  Dr. Friedman is board certified in neurology, with subspecialty certification in headache medicine by the United Council for Neurologic Subspecialties.  Dr. Friedman is a fellow of the American Academy of Neurology, the American Headache Society, and the North American Neuro-Ophthalmology Society.

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