High altitude headache (HAH)

Evidence-based neurology checklist on high altitude headache (hah): Clinical features This is bilateral and mild to moderate intensity It is pulsatile or oscillating There is associated irritability, nausea, and anorexia There is typically no photophobia or phonophobia Associated features…

Clinical features

  • This is bilateral and mild to moderate intensity
  • It is pulsatile or oscillating
  • There is associated irritability, nausea, and anorexia
  • There is typically no photophobia or phonophobia

Associated features

Predisposing factors

Risk factors

Exacerbating factors

Prophylaxis

Treatment

References

  1. Marmura MJ, Hernandez PB. High-altitude headache. Curr Pain Headache Rep 2015; 19:483. 
  2. Carod-Artal FJ. High-altitude headache and acute mountain sickness. Neurologia 2014; 29:533-540.
  3. Davis C, Reno E, Maa E, Roach R. History of migraine predicts headache at high altitude. High Alt Med Biol 2016; 17:300-304. 
  4. Muza SR, Beidleman BA, Fulco CS. Altitude preexposure recommendations for inducing acclimatization. High Alt Med Biol 2010 Summer; 11:87-92.
  5. Gertsch JH, Lipman GS, Holck PS, et al. Prospective, double-blind, randomized, placebo-controlled comparison of acetazolamide versus ibuprofen for prophylaxis against high altitude headache: The Headache Evaluation at Altitude Trial (HEAT). Wilderness Environ Med 2010; 21:236-243.
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