The Hypertensive Headache: a Review

Karissa N. Arca, Rashmi B Halker Singh

Research output: Contribution to journalReview article

Abstract

Purpose of Review: The purpose of this review is to provide an overview and update on the common causes of headache attributed to arterial hypertension with a focus on secondary headache disorders. We will also highlight uncommon and recent findings in this area of research. Recent Findings: There is some controversy in the relationship between chronic hypertension and headache, particularly migraine; recent research suggests that there may be a link, but it is likely complex and multifactorial. Many recent studies and case reports demonstrate that the pathophysiology underlying the onset of headache as it relates to abrupt rises in blood pressure seems to lie at the cellular level and mechanically becomes an issue with disruption of the blood-brain barrier. Although not a formally defined headache entity, carotid revascularization syndrome demonstrates this phenomenon and also has a recent set of proposed criteria that include headache and elevated blood pressure. Summary: This paper reviews the various etiologies of hypertensive headaches, mostly in regard to headache as a secondary symptom of elevated blood pressure. We will also discuss trends of hypertensive headache in pregnancy. Finally, we will touch on controversy that exists in relation to chronic hypertension and its causal relationship to headache as well as the relationship between hypertension and migraine.

Original languageEnglish (US)
Article number30
JournalCurrent pain and headache reports
Volume23
Issue number5
DOIs
StatePublished - May 1 2019

Fingerprint

Headache
Hypertension
Blood Pressure
Migraine Disorders
Secondary Headache Disorders
Headache Disorders
Blood-Brain Barrier
Research
Pregnancy

Keywords

  • Arterial
  • Autoregulation
  • Blood pressure
  • Headache
  • Hypertension
  • Secondary headache

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

The Hypertensive Headache : a Review. / Arca, Karissa N.; Halker Singh, Rashmi B.

In: Current pain and headache reports, Vol. 23, No. 5, 30, 01.05.2019.

Research output: Contribution to journalReview article

@article{5795af5ff3bd4852b5b06c486e032c0a,
title = "The Hypertensive Headache: a Review",
abstract = "Purpose of Review: The purpose of this review is to provide an overview and update on the common causes of headache attributed to arterial hypertension with a focus on secondary headache disorders. We will also highlight uncommon and recent findings in this area of research. Recent Findings: There is some controversy in the relationship between chronic hypertension and headache, particularly migraine; recent research suggests that there may be a link, but it is likely complex and multifactorial. Many recent studies and case reports demonstrate that the pathophysiology underlying the onset of headache as it relates to abrupt rises in blood pressure seems to lie at the cellular level and mechanically becomes an issue with disruption of the blood-brain barrier. Although not a formally defined headache entity, carotid revascularization syndrome demonstrates this phenomenon and also has a recent set of proposed criteria that include headache and elevated blood pressure. Summary: This paper reviews the various etiologies of hypertensive headaches, mostly in regard to headache as a secondary symptom of elevated blood pressure. We will also discuss trends of hypertensive headache in pregnancy. Finally, we will touch on controversy that exists in relation to chronic hypertension and its causal relationship to headache as well as the relationship between hypertension and migraine.",
keywords = "Arterial, Autoregulation, Blood pressure, Headache, Hypertension, Secondary headache",
author = "Arca, {Karissa N.} and {Halker Singh}, {Rashmi B}",
year = "2019",
month = "5",
day = "1",
doi = "10.1007/s11916-019-0767-z",
language = "English (US)",
volume = "23",
journal = "Current Pain and Headache Reports",
issn = "1531-3433",
publisher = "Current Science, Inc.",
number = "5",

}

TY - JOUR

T1 - The Hypertensive Headache

T2 - a Review

AU - Arca, Karissa N.

AU - Halker Singh, Rashmi B

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Purpose of Review: The purpose of this review is to provide an overview and update on the common causes of headache attributed to arterial hypertension with a focus on secondary headache disorders. We will also highlight uncommon and recent findings in this area of research. Recent Findings: There is some controversy in the relationship between chronic hypertension and headache, particularly migraine; recent research suggests that there may be a link, but it is likely complex and multifactorial. Many recent studies and case reports demonstrate that the pathophysiology underlying the onset of headache as it relates to abrupt rises in blood pressure seems to lie at the cellular level and mechanically becomes an issue with disruption of the blood-brain barrier. Although not a formally defined headache entity, carotid revascularization syndrome demonstrates this phenomenon and also has a recent set of proposed criteria that include headache and elevated blood pressure. Summary: This paper reviews the various etiologies of hypertensive headaches, mostly in regard to headache as a secondary symptom of elevated blood pressure. We will also discuss trends of hypertensive headache in pregnancy. Finally, we will touch on controversy that exists in relation to chronic hypertension and its causal relationship to headache as well as the relationship between hypertension and migraine.

AB - Purpose of Review: The purpose of this review is to provide an overview and update on the common causes of headache attributed to arterial hypertension with a focus on secondary headache disorders. We will also highlight uncommon and recent findings in this area of research. Recent Findings: There is some controversy in the relationship between chronic hypertension and headache, particularly migraine; recent research suggests that there may be a link, but it is likely complex and multifactorial. Many recent studies and case reports demonstrate that the pathophysiology underlying the onset of headache as it relates to abrupt rises in blood pressure seems to lie at the cellular level and mechanically becomes an issue with disruption of the blood-brain barrier. Although not a formally defined headache entity, carotid revascularization syndrome demonstrates this phenomenon and also has a recent set of proposed criteria that include headache and elevated blood pressure. Summary: This paper reviews the various etiologies of hypertensive headaches, mostly in regard to headache as a secondary symptom of elevated blood pressure. We will also discuss trends of hypertensive headache in pregnancy. Finally, we will touch on controversy that exists in relation to chronic hypertension and its causal relationship to headache as well as the relationship between hypertension and migraine.

KW - Arterial

KW - Autoregulation

KW - Blood pressure

KW - Headache

KW - Hypertension

KW - Secondary headache

UR - http://www.scopus.com/inward/record.url?scp=85062949661&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062949661&partnerID=8YFLogxK

U2 - 10.1007/s11916-019-0767-z

DO - 10.1007/s11916-019-0767-z

M3 - Review article

C2 - 30874912

AN - SCOPUS:85062949661

VL - 23

JO - Current Pain and Headache Reports

JF - Current Pain and Headache Reports

SN - 1531-3433

IS - 5

M1 - 30

ER -