Chronic migraine and CSF pressure

CM and BMI>30------>>>> CSF pressure should be checked by Lumber puncture

Nat Clin Pract Neurol. 2008 Aug;4(8):422-3.

Chronic migraine: (when) should we measure CSF pressure?

Paemeleire K.

The authors suggestion; Obese patients ought to be evaluated at time of diagnosis.

                                       We have to rule out idiopathic intracranial hypertension without papilledema(IIHWOP).

 

http://www.ncbi.nlm.nih.gov/pubmed/18612326

Cephalalgia. 2008 Jun;28(6):609-13.

Idiopathic intracranial hypertension with and without papilloedema in a consecutive series of patients with chronic migraine.

Vieira DS, Masruha MR, Gonçalves AL, Zukerman E, Senne Soares CA, Naffah-Mazzacoratti Mda G, Peres MF.
http://www.ncbi.nlm.nih.gov/pubmed/18384415