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 I. Friedman, MD, MPH, FAAN

Professor of Neurology & Ophthalmology
University of Texas Southwestern Medical Center

Deborah I. Friedman, MD, MPH, is a professor in the departments of neurology and ophthalmology at the UT Southwestern Medical Center. Dr. Friedman is a neuro-ophthalmologist and headache medicine specialist, the founding director of UT Southwestern’s headache and facial pain program. Dr. Friedman is board-certified in neurology by the American Board of Psychiatry and 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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