High altitude headache (HAH)
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
High altitude headache (HAH). This is bilateral and mild to moderate intensity. It is pulsatile or oscillating. Fully referenced neurology checklist.
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
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Predisposing factors
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Risk factors
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Exacerbating factors
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Prophylaxis
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Treatment
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References
- Marmura MJ, Hernandez PB. High-altitude headache. Curr Pain Headache Rep 2015; 19:483.
- Carod-Artal FJ. High-altitude headache and acute mountain sickness. Neurologia 2014; 29:533-540.
- Davis C, Reno E, Maa E, Roach R. History of migraine predicts headache at high altitude. High Alt Med Biol 2016; 17:300-304.
- Muza SR, Beidleman BA, Fulco CS. Altitude preexposure recommendations for inducing acclimatization. High Alt Med Biol 2010 Summer; 11:87-92.
- 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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