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Neurological Sciences
Published in: Neurological Sciences 1/2019

01-05-2019 | Migraine | Review Article

Dural sinus collapsibility, idiopathic intracranial hypertension, and the pathogenesis of chronic migraine

Authors: Roberto De Simone, Angelo Ranieri, Mattia Sansone, Enrico Marano, Cinzia Valeria Russo, Francesco Saccà, Vincenzo Bonavita

Published in: Neurological Sciences | Special Issue 1/2019

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Abstract

Available evidences suggest that a number of known assumption on idiopathic intracranial hypertension (IIH) with or without papilledema might be discussed. These include (1) the primary pathogenetic role of an excessive dural sinus collapsibility in IIH, allowing a new relatively stable intracranial fluids pressure balance at higher values; (2) the non-mandatory role of papilledema for a definite diagnosis; (3) the possibly much higher prevalence of IIH without papilledema than currently considered; (4) the crucial role of the cerebral compliance exhaustion that precede the raise in intracranial pressure and that may already be pathologic in cases showing a moderately elevated opening pressure; (5) the role as “intracranial pressure sensor” played by the trigeminovascular innervation of dural sinuses and cortical bridge veins, which could represent a major source of CGRP and may explain the high comorbidity and the emerging causative link between IIHWOP and chronic migraine (CM). Accordingly, the control of intracranial pressure is to be considered a promising new therapeutic target in CM.
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Metadata
Title
Dural sinus collapsibility, idiopathic intracranial hypertension, and the pathogenesis of chronic migraine
Authors
Roberto De Simone
Angelo Ranieri
Mattia Sansone
Enrico Marano
Cinzia Valeria Russo
Francesco Saccà
Vincenzo Bonavita
Publication date
01-05-2019
Publisher
Springer International Publishing
Published in
Neurological Sciences / Issue Special Issue 1/2019
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-019-03775-w

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