Digital Technologies in Differentiation of Migrane-Like Headaches

The International Classification of Headache Disorders (3rd edition) includes point 7.1. Headache attributed to increased cerebrospinal fluid pressure. The principal associated features comprise papilledema, visual disturbances (transient opacities, loss of vision), pulsatile tinnitus, and cranial nerve VI palsy. The diagnosis of this condition necessitates the utilisation of neuroimaging techniques to exclude the presence of secondary causes. Furthermore, the confirmation of increased intracranial pressure (ICP) through lumbar puncture and the observation of normal cerebrospinal fluid composition are essential components of the diagnostic process. Obesity is the primary risk factor, although venous sinus thrombosis or connective tissue diseases (e.g. Marfan syndrome) may also be contributory. The treatment of choice is focused on reducing intracranial pressure (ICP) through weight loss, acetazolamide, or surgery (e.g. optic nerve sheath fenestration, cerebrospinal fluid shunting) to prevent irreversible vision loss. A distinctive element of this study is the incorporation of digital technology specialists within the diagnostic process. The primary objective of this study is to investigate a clinical case of episodic secondary headache mimicking migraine with aura in a patient with lumbar meningocele. The study also provides a brief review of the existing literature on this topic.