Question: ...the difference between the Chiari malformation headaches and the migraines?
Answer:
Dear Anita:
I really feel for your different problems. People with Chiari malformations can
often have headaches, and they can have migraines as well. If you get two
different types of headaches, both can be treated. The migraines are probably
easier to treat with specific medications, such as the triptans. Chiari type
headaches often involve elevated fluid pressure in the brain; they can be
related to body position or to lifting, straining, etc. These are tougher to
treat successfully. Sounds like Topamax might be adding to problems. There are
many other medications for suppressing migraines. Many of these are in the same
general family as Topamax. Getting to a headache specialist would be key for
best management of your complicated headache pattern.
Good luck,
John Claude Krusz
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