{"id":4337,"date":"2025-08-11T06:24:12","date_gmt":"2025-08-11T06:24:12","guid":{"rendered":"https:\/\/www.raffaellopagani-ccsvi.it\/?p=4337"},"modified":"2025-07-22T14:59:54","modified_gmt":"2025-07-22T14:59:54","slug":"cefalea-ortostatica-y-ccsvi","status":"publish","type":"post","link":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/","title":{"rendered":"Cefalea ortost\u00e1tica y CCSVI: el v\u00ednculo invisible que muchos pasan por alto"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4337\" class=\"elementor elementor-4337 elementor-4179\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f680ce2 e-flex e-con-boxed e-con e-parent\" data-id=\"f680ce2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5de97a7 elementor-widget elementor-widget-themeht-heading\" data-id=\"5de97a7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">Cuando el dolor de cabeza cambia con la postura\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6e1ebf4 elementor-widget elementor-widget-text-editor\" data-id=\"6e1ebf4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Como m\u00e9dico, me he encontrado en varias ocasiones con pacientes que describ\u00edan un tipo de dolor de cabeza particular, distinto al que solemos ver con m\u00e1s frecuencia. No era la t\u00edpica migra\u00f1a puls\u00e1til, ni un dolor constante como en la cefalea tensional. Lo que llamaba la atenci\u00f3n era un detalle muy espec\u00edfico: el dolor aparec\u00eda o empeoraba claramente <strong>cuando estaban sentados o de pie<\/strong>, y mejoraba casi de <strong>inmediato al acostarse<\/strong>.  <\/p><p>Ese simple dato postural, que muchos considerar\u00edan secundario, es en realidad un <strong>signo cl\u00ednico importante<\/strong>, aunque a menudo se subestima. La mayor\u00eda de estos pacientes ya hab\u00edan visitado varios especialistas, probado medicamentos y realizado estudios neurol\u00f3gicos, sin llegar a un diagn\u00f3stico claro. Si no se encuentra una causa evidente como una p\u00e9rdida de l\u00edquido cefalorraqu\u00eddeo, la cefalea ortost\u00e1tica suele clasificarse como \u201cno org\u00e1nica\u201d. Sin embargo, al observar con m\u00e1s atenci\u00f3n, aparece un posible v\u00ednculo con la <strong>CCSVI<\/strong> que merece ser investigado.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-421c5bb elementor-widget elementor-widget-themeht-heading\" data-id=\"421c5bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">\u00bfQu\u00e9 es la cefalea ortost\u00e1tica?\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-babbd36 elementor-widget elementor-widget-text-editor\" data-id=\"babbd36\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La cefalea ortost\u00e1tica es un tipo de dolor de cabeza que se desencadena o se intensifica al estar en posici\u00f3n erguida. Es m\u00e1s com\u00fan en situaciones donde el <strong>l\u00edquido cefalorraqu\u00eddeo (LCR)<\/strong> se pierde o se reabsorbe demasiado r\u00e1pido, como despu\u00e9s de una punci\u00f3n lumbar, un traumatismo, o en algunas patolog\u00edas raras como la <strong>hipotensi\u00f3n intracraneal espont\u00e1nea<\/strong>. <\/p><p>Sin embargo, hay un grupo de pacientes que presenta exactamente los mismos s\u00edntomas, <strong>sin alteraciones evidentes del LCR<\/strong>. No hay fugas, ni malformaciones estructurales. \u00bfQu\u00e9 est\u00e1 ocurriendo entonces? Fue en estos casos cuando empec\u00e9 a notar una coincidencia importante: muchos de ellos presentaban <strong>signos de alteraci\u00f3n del drenaje venoso cerebral y cervical<\/strong>, compatibles con un cuadro de <strong>insuficiencia venosa cr\u00f3nica cerebroespinal<\/strong> (CCSVI).   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c83b7b4 elementor-widget elementor-widget-themeht-heading\" data-id=\"c83b7b4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">CCSVI: cuando las venas dificultan el retorno venoso cerebral\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d55cea8 elementor-widget elementor-widget-text-editor\" data-id=\"d55cea8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La CCSVI es una condici\u00f3n en la que la sangre venosa tiene dificultades para salir del cerebro hacia el coraz\u00f3n, debido a <strong>estenosis, compresiones o reflujos an\u00f3malos<\/strong> en las principales venas encargadas del drenaje cerebral: las <strong>yugulares internas, las vertebrales y la vena \u00e1cigos<\/strong>.<\/p><p>En condiciones normales, la sangre venosa debe fluir de forma libre y constante. Cuando este equilibrio se pierde, puede <strong>aumentar la presi\u00f3n venosa intracraneal<\/strong>, especialmente al estar de pie, ya que las venas implicadas en el drenaje se encuentran parcial o totalmente colapsadas. <\/p><p>Es este estancamiento venoso el que puede provocar la <strong>cefalea ortost\u00e1tica<\/strong>: la sangre queda \u201catrapada\u201d dentro del cr\u00e1neo, generando una presi\u00f3n que estimula los receptores del dolor en las meninges y las estructuras vasculares del cerebro. Este mecanismo tambi\u00e9n podr\u00eda explicar <strong>otros s\u00edntomas frecuentes<\/strong>, como la neblina mental, los mareos, la dificultad para concentrarse o los ac\u00fafenos. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fce6989 elementor-widget elementor-widget-themeht-heading\" data-id=\"fce6989\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">C\u00f3mo diferenciar la cefalea causada por CCSVI\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3ba3f31 elementor-widget elementor-widget-text-editor\" data-id=\"3ba3f31\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Con el tiempo, he aprendido a identificar una serie de caracter\u00edsticas cl\u00ednicas que se repiten:<\/p><ul><li>La <strong>postura es clave<\/strong>: los pacientes sienten que el dolor empeora al estar de pie y mejora claramente al acostarse, a veces en pocos minutos.<\/li><li>El dolor puede ser <strong>generalizado, pero suele concentrarse<\/strong> en la zona occipital, cervical o retroorbitaria.<\/li><li>Suele venir acompa\u00f1ado de <strong>presi\u00f3n en los o\u00eddos<\/strong>, fotofobia, n\u00e1useas o una sensaci\u00f3n de \u201ccabeza llena\u201d.<\/li><li>Algunos pacientes reportan alivio temporal al usar un <strong>collar\u00edn cervical<\/strong> o realizar <strong>tracci\u00f3n ligera del cuello<\/strong>.<\/li><\/ul><p>Un punto importante es que <strong>no responden a los tratamientos cl\u00e1sicos<\/strong> para migra\u00f1a o cefalea tensional. Muchos han probado triptanes, antiinflamatorios, antidepresivos o antiepil\u00e9pticos, sin mejor\u00edas significativas. Y eso, por s\u00ed solo, ya deber\u00eda hacer sospechar una causa \u201cno convencional\u201d.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae72635 elementor-widget elementor-widget-themeht-heading\" data-id=\"ae72635\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">Estudios que respaldan la relaci\u00f3n\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d42a14 elementor-widget elementor-widget-text-editor\" data-id=\"4d42a14\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La relaci\u00f3n entre CCSVI y cefalea no es solo una observaci\u00f3n cl\u00ednica: tambi\u00e9n cuenta con respaldo cient\u00edfico. Zamboni y otros investigadores han propuesto que la <strong>estasis venosa cr\u00f3nica<\/strong> podr\u00eda provocar <strong>microhipoxia<\/strong>, estr\u00e9s oxidativo y <strong>neuroinflamaci\u00f3n <\/strong>\u2014 factores bien conocidos por su implicaci\u00f3n en la percepci\u00f3n y cronificaci\u00f3n del dolor. <\/p><p>Algunos estudios han reportado <strong>mejor\u00edas en cefaleas ortost\u00e1ticas despu\u00e9s de tratamientos venosos<\/strong> como angioplastia o descompresi\u00f3n quir\u00fargica en casos de compresi\u00f3n externa (por ejemplo, el s\u00edndrome de Eagle o conflictos musculares). En otros pacientes, cambios posturales nocturnos o el uso de almohadas cervicales han logrado reducir la frecuencia e intensidad del dolor. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6766f8 elementor-widget elementor-widget-themeht-heading\" data-id=\"b6766f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">Por qu\u00e9 a menudo no se diagnostica\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cfd29e elementor-widget elementor-widget-text-editor\" data-id=\"7cfd29e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El mayor problema es que la cefalea por CCSVI a\u00fan <strong>no figura en las clasificaciones neurol\u00f3gicas oficiales<\/strong>, por lo que suele etiquetarse como \u201ccefalea inespec\u00edfica\u201d o, peor a\u00fan, \u201cpsic\u00f3gena\u201d. <\/p><p>La falta de formaci\u00f3n espec\u00edfica del personal m\u00e9dico en trastornos vasculares cr\u00e1neo-cervicales hace que <strong>no se soliciten pruebas dirigidas<\/strong>. Y sin embargo, una simple <strong>ecograf\u00eda Doppler venosa<\/strong>, realizada en posici\u00f3n supina y sentada, puede ofrecer indicios muy claros. <\/p><p>Cuando hay una sospecha cl\u00ednica fundada y el paciente presenta s\u00edntomas adicionales (como visi\u00f3n borrosa, mareos, alteraciones cognitivas), recomiendo realizar <strong>estudios m\u00e1s completos<\/strong> como la resonancia magn\u00e9tica venosa (MRV), CBCT o una flebograf\u00eda selectiva.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f2ab16 elementor-widget elementor-widget-themeht-heading\" data-id=\"1f2ab16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">Tabla comparativa: cefalea por CCSVI vs. hipotensi\u00f3n del LCR\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87243d8 elementor-widget elementor-widget-html\" data-id=\"87243d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\r\n  .table-responsive {\r\n    width: 100%;\r\n    border-collapse: collapse;\r\n  }\r\n\r\n  .table-responsive th,\r\n  .table-responsive td {\r\n    border: 1px solid #ccc;\r\n    padding: 10px;\r\n    text-align: left;\r\n  }\r\n\r\n  .table-responsive thead {\r\n    background-color: #f5f5f5;\r\n  }\r\n\r\n  @media screen and (max-width: 768px) {\r\n    .table-responsive {\r\n      border: 0;\r\n    }\r\n\r\n    .table-responsive thead {\r\n      display: none;\r\n    }\r\n\r\n    .table-responsive tr {\r\n      margin-bottom: 20px;\r\n      display: block;\r\n      border: 1px solid #ccc;\r\n      padding: 10px;\r\n      background-color: #fff;\r\n    }\r\n\r\n    .table-responsive td {\r\n      display: block;\r\n      text-align: left;\r\n      font-size: 16px;\r\n      border: none;\r\n      position: relative;\r\n      padding-left: 0;\r\n    }\r\n\r\n    .table-responsive td::before {\r\n      content: attr(data-label);\r\n      font-weight: bold;\r\n      display: block;\r\n      margin-bottom: 5px;\r\n      color: #333;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<table class=\"table-responsive\">\r\n  <thead>\r\n    <tr>\r\n      <th>Caracter\u00edstica<\/th>\r\n<th>Cefalea por CCSVI<\/th>\r\n<th>Cefalea por hipotensi\u00f3n de LCR<\/th>\r\n    <\/tr>\r\n  <\/thead>\r\n  <tbody>\r\n    <tr>\r\n      <td data-label=\"Caratteristica\">Inicio<\/td>\r\n<td data-label=\"Cefalea da CCSVI\">Lento, progresivo al ponerse de pie<\/td>\r\n<td data-label=\"Cefalea da ipotensione liquorale\">Brusco, muchas veces al levantarse de la cama<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Caratteristica\">Alivio postural<\/td>\r\n<td data-label=\"Cefalea da CCSVI\">Posici\u00f3n supina o tracci\u00f3n cervical<\/td>\r\n<td data-label=\"Cefalea da ipotensione liquorale\">Posici\u00f3n supina o posici\u00f3n de Trendelenburg<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Caratteristica\">S\u00edntomas asociados<\/td>\r\n<td data-label=\"Cefalea da CCSVI\">Ac\u00fafenos, niebla mental, visi\u00f3n borrosa<\/td>\r\n<td data-label=\"Cefalea da ipotensione liquorale\">N\u00e1useas, ac\u00fafenos, visi\u00f3n doble<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Caratteristica\">Causas comunes<\/td>\r\n<td data-label=\"Cefalea da CCSVI\">Estenosis, compresiones, reflujo venoso<\/td>\r\n<td data-label=\"Cefalea da ipotensione liquorale\">F\u00edstulas, punciones lumbares<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Caratteristica\">Diagn\u00f3stico instrumental<\/td>\r\n<td data-label=\"Cefalea da CCSVI\">Doppler venoso, MRV, flebograf\u00eda<\/td>\r\n<td data-label=\"Cefalea da ipotensione liquorale\">RM de columna, cisternograf\u00eda<\/td>\r\n    <\/tr>\r\n    <tr>\r\n      <td data-label=\"Caratteristica\">Tratamiento<\/td>\r\n<td data-label=\"Cefalea da CCSVI\">Angioplastia, descompresi\u00f3n, terapia postural<\/td>\r\n<td data-label=\"Cefalea da ipotensione liquorale\">Reposo, cafe\u00edna, blood patch<\/td>\r\n    <\/tr>\r\n  <\/tbody>\r\n<\/table>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5d0fca elementor-widget elementor-widget-themeht-heading\" data-id=\"c5d0fca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">\u00bfQu\u00e9 opciones existen tras el diagn\u00f3stico?\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-016fd04 elementor-widget elementor-widget-text-editor\" data-id=\"016fd04\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El tratamiento no es \u00fanico y debe adaptarse a cada caso, seg\u00fan la causa subyacente:<\/p><ul><li>Si hay <strong>estenosis venosas<\/strong>, se puede valorar una <strong>angioplastia <\/strong>en centros especializados.<\/li><li>Ante <strong>compresiones mec\u00e1nicas<\/strong> (como el s\u00edndrome de Eagle), es posible recurrir a cirug\u00eda descompresiva.<\/li><li>En casos m\u00e1s leves o mientras se espera intervenci\u00f3n, se puede recurrir a <strong>terapia postural, tratamiento manual especializado, uso de collarines ortop\u00e9dicos<\/strong> y cambios en el estilo de vida.<\/li><\/ul><p>Lo importante es <strong>no ignorar el componente vascular<\/strong>, porque en muchos pacientes es precisamente esa la clave para entender s\u00edntomas que de otro modo parecen \u201cinexplicables\u201d.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e0b582 elementor-widget elementor-widget-themeht-heading\" data-id=\"4e0b582\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"themeht-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n        <div class=\"\">\r\n\r\n          <h2 class=\" \">\u2753 Preguntas frecuentes (FAQ)\n\n<\/h2>       \r\n\r\n        <\/div>\r\n\r\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ba424a1 elementor-widget elementor-widget-n-accordion\" data-id=\"ba424a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;expanded&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1950\" class=\"e-n-accordion-item\" open>\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"true\" aria-controls=\"e-n-accordion-item-1950\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00bfC\u00f3mo saber si tengo CCSVI? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1950\" class=\"elementor-element elementor-element-d6cc137 e-con-full e-flex e-con e-child\" data-id=\"d6cc137\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3e780c9 elementor-widget elementor-widget-text-editor\" data-id=\"3e780c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>El primer paso es realizar un ecodoppler venoso del cuello en posici\u00f3n supina y sentada, para observar el flujo en las venas yugulares y vertebrales. Si hay indicios, se pueden hacer estudios m\u00e1s avanzados. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1951\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1951\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00bfEst\u00e1 reconocida la CCSVI como causa de cefalea? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1951\" class=\"elementor-element elementor-element-029696d e-con-full e-flex e-con e-child\" data-id=\"029696d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-72824fb elementor-widget elementor-widget-text-editor\" data-id=\"72824fb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Todav\u00eda no en las clasificaciones oficiales, pero cada vez m\u00e1s estudios cl\u00ednicos sugieren un v\u00ednculo entre alteraciones venosas y s\u00edntomas posturales como la cefalea ortost\u00e1tica.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1952\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1952\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00bfEl tratamiento es siempre invasivo? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1952\" class=\"elementor-element elementor-element-3e1ab5d e-con-full e-flex e-con e-child\" data-id=\"3e1ab5d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eac9c94 elementor-widget elementor-widget-text-editor\" data-id=\"eac9c94\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>No. En muchos casos bastan ajustes posturales o fisioterapia especializada. Solo los casos m\u00e1s graves requieren intervenci\u00f3n quir\u00fargica o endovascular.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1953\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1953\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00bfLos s\u00edntomas mejoran tras el tratamiento? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1953\" class=\"elementor-element elementor-element-d01edf3 e-flex e-con-boxed e-con e-child\" data-id=\"d01edf3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b4ba7d7 elementor-widget elementor-widget-text-editor\" data-id=\"b4ba7d7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tSeg\u00fan mi experiencia, muchos pacientes con CCSVI y cefalea ortost\u00e1tica experimentan <strong>mejoras significativas y duraderas<\/strong> tras un tratamiento personalizado.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-1954\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-1954\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> \u00bfPuedo tener CCSVI aunque mi resonancia sea normal? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-1954\" class=\"elementor-element elementor-element-455a715 e-flex e-con-boxed e-con e-child\" data-id=\"455a715\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-332fcc5 elementor-widget elementor-widget-text-editor\" data-id=\"332fcc5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>S\u00ed. La CCSVI afecta al sistema venoso extracraneal y <strong>no suele ser visible en una resonancia cerebral est\u00e1ndar<\/strong>, sobre todo si se realiza solo en posici\u00f3n supina. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3e9cf9 elementor-widget elementor-widget-text-editor\" data-id=\"d3e9cf9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>\ud83d\udce9 \u00bfQuieres saber si la CCSVI est\u00e1 detr\u00e1s de tus dolores de cabeza?<\/h3><p>Si llevas tiempo con cefalea ortost\u00e1tica y nadie ha sabido darte una respuesta, te animo a considerar la hip\u00f3tesis vascular. Es posible que el origen de tu dolor no sea neurol\u00f3gico en s\u00ed, sino <strong>un problema mec\u00e1nico de drenaje venoso<\/strong>. <\/p><p><a title=\"Contacts\" href=\"https:\/\/www.raffaellopagani-ccsvi.it\/es\/contacts\/\" target=\"_blank\" rel=\"noopener\"><span style=\"text-decoration: underline;\"><strong>Cont\u00e1ctame para una consulta especializada.<\/strong><\/span><\/a> A trav\u00e9s de una anamnesis detallada y estudios espec\u00edficos, podemos entender si la CCSVI est\u00e1 implicada en tu caso y cu\u00e1l es el mejor enfoque para tratarla.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.  <\/p>\n","protected":false},"author":1,"featured_media":4187,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[142],"tags":[306,196,223,111,224,724,728,304,723,725,730,532,731,459,177,726,722,721,729,358,727,671],"class_list":["post-4337","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ccsvi-es","tag-acufenos","tag-angioplastia-venosa","tag-brain-fog-es","tag-ccsvi-es","tag-cefalea-ortostatica-es","tag-cefalea-postural","tag-diagnostico-diferencial-de-cefalea","tag-dolor-de-cabeza-cronico","tag-dolor-de-cabeza-postural","tag-dolor-que-mejora-al-acostarse","tag-doppler-yugular","tag-drenaje-venoso-cerebral","tag-enfermedades-neurologicas-poco-reconocidas","tag-hipertension-intracraneal","tag-insuficiencia-venosa-cerebroespinal","tag-migrana-atipica","tag-neuroinflamacion","tag-reflujo-venoso","tag-resonancia-magnetica-venosa","tag-sindrome-de-eagle","tag-sindrome-de-estasis-venosa","tag-traccion-cervical"],"acf":[],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.1.1 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Dott. Raffaello Pagani\"\/>\n\t<link rel=\"canonical\" href=\"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/\" \/>\n\t<meta name=\"generator\" content=\"All in One SEO (AIOSEO) 5.0.1.1\" \/>\n\t\t<meta property=\"og:locale\" content=\"es_ES\" \/>\n\t\t<meta property=\"og:site_name\" content=\"Dott. Raffaello Pagani | Chirurgia Vascolare e CCSVI\" \/>\n\t\t<meta property=\"og:type\" content=\"article\" \/>\n\t\t<meta property=\"og:title\" content=\"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar\" \/>\n\t\t<meta property=\"og:description\" content=\"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.\" \/>\n\t\t<meta property=\"og:url\" content=\"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/\" \/>\n\t\t<meta property=\"og:image\" content=\"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg\" \/>\n\t\t<meta property=\"og:image:secure_url\" content=\"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg\" \/>\n\t\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t\t<meta property=\"article:published_time\" content=\"2025-08-11T06:24:12+00:00\" \/>\n\t\t<meta property=\"article:modified_time\" content=\"2025-07-22T14:59:54+00:00\" \/>\n\t\t<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n\t\t<meta name=\"twitter:title\" content=\"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar\" \/>\n\t\t<meta name=\"twitter:description\" content=\"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.\" \/>\n\t\t<meta name=\"twitter:image\" content=\"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg\" \/>\n\t\t<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t\t<meta name=\"twitter:data1\" content=\"Dott. Raffaello Pagani\" \/>\n\t\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura estimado\" \/>\n\t\t<meta name=\"twitter:data2\" content=\"8 minutos\" \/>\n\t\t<script type=\"application\/ld+json\" class=\"aioseo-schema\">\n\t\t\t{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"BlogPosting\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#blogposting\",\"name\":\"Cefalea ortost\\u00e1tica y CCSVI: un s\\u00edntoma que no debes ignorar\",\"headline\":\"Cefalea ortost\\u00e1tica y CCSVI: el v\\u00ednculo invisible que muchos pasan por alto\",\"author\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/author\\\/dottpagani\\\/#author\"},\"publisher\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#organization\"},\"image\":{\"@type\":\"ImageObject\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/Cefalea-ortostatica-e-CCSVI.jpg\",\"width\":1200,\"height\":630,\"caption\":\"cefalea ortostatica y ccsvi\"},\"datePublished\":\"2025-08-11T06:24:12+00:00\",\"dateModified\":\"2025-07-22T14:59:54+00:00\",\"inLanguage\":\"es-ES\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#webpage\"},\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#webpage\"},\"articleSection\":\"CCSVI, Ac\\u00fafenos, angioplastia venosa, brain fog, CCSVI, cefalea ortost\\u00e1tica, cefalea postural, diagn\\u00f3stico diferencial de cefalea, Dolor de cabeza cr\\u00f3nico, dolor de cabeza postural, dolor que mejora al acostarse, doppler yugular, drenaje venoso cerebral, enfermedades neurol\\u00f3gicas poco reconocidas, hipertensi\\u00f3n intracraneal, insuficiencia venosa cerebroespinal, migra\\u00f1a at\\u00edpica, neuroinflamaci\\u00f3n, reflujo venoso, resonancia magn\\u00e9tica venosa, s\\u00edndrome de Eagle, s\\u00edndrome de estasis venosa, tracci\\u00f3n cervical, Opcional\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#breadcrumblist\",\"itemListElement\":[{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#listItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/category\\\/ccsvi-es\\\/#listItem\",\"name\":\"CCSVI\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/category\\\/ccsvi-es\\\/#listItem\",\"position\":2,\"name\":\"CCSVI\",\"item\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/category\\\/ccsvi-es\\\/\",\"nextItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#listItem\",\"name\":\"Cefalea ortost\\u00e1tica y CCSVI: el v\\u00ednculo invisible que muchos pasan por alto\"},\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#listItem\",\"name\":\"Home\"}},{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#listItem\",\"position\":3,\"name\":\"Cefalea ortost\\u00e1tica y CCSVI: el v\\u00ednculo invisible que muchos pasan por alto\",\"previousItem\":{\"@type\":\"ListItem\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/category\\\/ccsvi-es\\\/#listItem\",\"name\":\"CCSVI\"}}]},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#organization\",\"name\":\"Dott. Raffaello Pagani\",\"description\":\"Chirurgia Vascolare e CCSVI\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/\",\"telephone\":\"+393381740483\",\"logo\":{\"@type\":\"ImageObject\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/wp-content\\\/uploads\\\/2025\\\/04\\\/logo-dott-pagani-scaled.png\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#organizationLogo\",\"width\":2560,\"height\":749,\"caption\":\"logo dott pagani\"},\"image\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#organizationLogo\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/author\\\/dottpagani\\\/#author\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/author\\\/dottpagani\\\/\",\"name\":\"Dott. Raffaello Pagani\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#authorImage\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/d0e22106c5c5db8b7341162c5fca254fea1204aaaef5f8d7dd888764570e52e0?s=96&d=mm&r=g\",\"width\":96,\"height\":96,\"caption\":\"Dott. Raffaello Pagani\"}},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#webpage\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/\",\"name\":\"Cefalea ortost\\u00e1tica y CCSVI: un s\\u00edntoma que no debes ignorar\",\"description\":\"\\u00bfTe duele la cabeza m\\u00e1s al estar de pie? Podr\\u00eda ser CCSVI. Descubre el v\\u00ednculo entre postura, drenaje venoso y cefalea ortost\\u00e1tica.\",\"inLanguage\":\"es-ES\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#website\"},\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#breadcrumblist\"},\"author\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/author\\\/dottpagani\\\/#author\"},\"creator\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/author\\\/dottpagani\\\/#author\"},\"image\":{\"@type\":\"ImageObject\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/Cefalea-ortostatica-e-CCSVI.jpg\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#mainImage\",\"width\":1200,\"height\":630,\"caption\":\"cefalea ortostatica y ccsvi\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/cefalea-ortostatica-y-ccsvi\\\/#mainImage\"},\"datePublished\":\"2025-08-11T06:24:12+00:00\",\"dateModified\":\"2025-07-22T14:59:54+00:00\"},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/\",\"name\":\"Dott. Raffaello Pagani\",\"description\":\"Chirurgia Vascolare e CCSVI\",\"inLanguage\":\"es-ES\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.raffaellopagani-ccsvi.it\\\/es\\\/#organization\"}}]}\n\t\t<\/script>\n\t\t<!-- All in One SEO -->\n\n","aioseo_head_json":{"title":"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar","description":"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.","canonical_url":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/","robots":"max-image-preview:large","keywords":"","webmasterTools":{"miscellaneous":""},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"BlogPosting","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#blogposting","name":"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar","headline":"Cefalea ortost\u00e1tica y CCSVI: el v\u00ednculo invisible que muchos pasan por alto","author":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/author\/dottpagani\/#author"},"publisher":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#organization"},"image":{"@type":"ImageObject","url":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg","width":1200,"height":630,"caption":"cefalea ortostatica y ccsvi"},"datePublished":"2025-08-11T06:24:12+00:00","dateModified":"2025-07-22T14:59:54+00:00","inLanguage":"es-ES","mainEntityOfPage":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#webpage"},"isPartOf":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#webpage"},"articleSection":"CCSVI, Ac\u00fafenos, angioplastia venosa, brain fog, CCSVI, cefalea ortost\u00e1tica, cefalea postural, diagn\u00f3stico diferencial de cefalea, Dolor de cabeza cr\u00f3nico, dolor de cabeza postural, dolor que mejora al acostarse, doppler yugular, drenaje venoso cerebral, enfermedades neurol\u00f3gicas poco reconocidas, hipertensi\u00f3n intracraneal, insuficiencia venosa cerebroespinal, migra\u00f1a at\u00edpica, neuroinflamaci\u00f3n, reflujo venoso, resonancia magn\u00e9tica venosa, s\u00edndrome de Eagle, s\u00edndrome de estasis venosa, tracci\u00f3n cervical, Opcional"},{"@type":"BreadcrumbList","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#breadcrumblist","itemListElement":[{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#listItem","position":1,"name":"Home","item":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/","nextItem":{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/category\/ccsvi-es\/#listItem","name":"CCSVI"}},{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/category\/ccsvi-es\/#listItem","position":2,"name":"CCSVI","item":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/category\/ccsvi-es\/","nextItem":{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#listItem","name":"Cefalea ortost\u00e1tica y CCSVI: el v\u00ednculo invisible que muchos pasan por alto"},"previousItem":{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#listItem","name":"Home"}},{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#listItem","position":3,"name":"Cefalea ortost\u00e1tica y CCSVI: el v\u00ednculo invisible que muchos pasan por alto","previousItem":{"@type":"ListItem","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/category\/ccsvi-es\/#listItem","name":"CCSVI"}}]},{"@type":"Organization","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#organization","name":"Dott. Raffaello Pagani","description":"Chirurgia Vascolare e CCSVI","url":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/","telephone":"+393381740483","logo":{"@type":"ImageObject","url":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/04\/logo-dott-pagani-scaled.png","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#organizationLogo","width":2560,"height":749,"caption":"logo dott pagani"},"image":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#organizationLogo"}},{"@type":"Person","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/author\/dottpagani\/#author","url":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/author\/dottpagani\/","name":"Dott. Raffaello Pagani","image":{"@type":"ImageObject","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#authorImage","url":"https:\/\/secure.gravatar.com\/avatar\/d0e22106c5c5db8b7341162c5fca254fea1204aaaef5f8d7dd888764570e52e0?s=96&d=mm&r=g","width":96,"height":96,"caption":"Dott. Raffaello Pagani"}},{"@type":"WebPage","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#webpage","url":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/","name":"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar","description":"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.","inLanguage":"es-ES","isPartOf":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#website"},"breadcrumb":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#breadcrumblist"},"author":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/author\/dottpagani\/#author"},"creator":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/author\/dottpagani\/#author"},"image":{"@type":"ImageObject","url":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#mainImage","width":1200,"height":630,"caption":"cefalea ortostatica y ccsvi"},"primaryImageOfPage":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/#mainImage"},"datePublished":"2025-08-11T06:24:12+00:00","dateModified":"2025-07-22T14:59:54+00:00"},{"@type":"WebSite","@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#website","url":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/","name":"Dott. Raffaello Pagani","description":"Chirurgia Vascolare e CCSVI","inLanguage":"es-ES","publisher":{"@id":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/#organization"}}]},"og:locale":"es_ES","og:site_name":"Dott. Raffaello Pagani | Chirurgia Vascolare e CCSVI","og:type":"article","og:title":"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar","og:description":"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.","og:url":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/","og:image":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg","og:image:secure_url":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg","og:image:width":"1200","og:image:height":"630","article:published_time":"2025-08-11T06:24:12+00:00","article:modified_time":"2025-07-22T14:59:54+00:00","twitter:card":"summary_large_image","twitter:title":"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar","twitter:description":"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.","twitter:image":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg","twitter:label1":"Escrito por","twitter:data1":"Dott. Raffaello Pagani","twitter:label2":"Tiempo de lectura estimado","twitter:data2":"8 minutos"},"aioseo_meta_data":{"post_id":"4337","title":"Cefalea ortost\u00e1tica y CCSVI: un s\u00edntoma que no debes ignorar","description":"\u00bfTe duele la cabeza m\u00e1s al estar de pie? Podr\u00eda ser CCSVI. Descubre el v\u00ednculo entre postura, drenaje venoso y cefalea ortost\u00e1tica.","keywords":null,"keyphrases":{"focus":{"keyphrase":"cefalea","score":91,"analysis":{"keyphraseInTitle":{"score":9,"maxScore":9,"error":0},"keyphraseInDescription":{"score":9,"maxScore":9,"error":0},"keyphraseLength":{"score":9,"maxScore":9,"error":0,"length":1},"keyphraseInURL":{"score":5,"maxScore":5,"error":0},"keyphraseInIntroduction":{"score":9,"maxScore":9,"error":0},"keyphraseInSubHeadings":{"score":9,"maxScore":9,"error":0},"keyphraseInImageAlt":{"score":3,"maxScore":9,"error":1},"keywordDensity":{"type":"best","score":9,"maxScore":9,"error":0}}},"additional":[]},"primary_term":null,"canonical_url":null,"og_title":null,"og_description":null,"og_object_type":"default","og_image_type":"featured","og_image_url":"https:\/\/www.raffaellopagani-ccsvi.it\/wp-content\/uploads\/2025\/07\/Cefalea-ortostatica-e-CCSVI.jpg","og_image_width":"1200","og_image_height":"630","og_image_custom_url":null,"og_image_custom_fields":null,"og_video":"","og_custom_url":null,"og_article_section":null,"og_article_tags":null,"twitter_use_og":true,"twitter_card":"default","twitter_image_type":"default","twitter_image_url":null,"twitter_image_custom_url":null,"twitter_image_custom_fields":null,"twitter_title":null,"twitter_description":null,"schema":{"blockGraphs":[],"customGraphs":[],"default":{"data":{"Article":[],"Course":[],"Dataset":[],"FAQPage":[],"Movie":[],"Person":[],"Product":[],"ProductReview":[],"Car":[],"Recipe":[],"Service":[],"SoftwareApplication":[],"WebPage":[]},"graphName":"BlogPosting","isEnabled":true},"graphs":[]},"schema_type":"default","schema_type_options":null,"pillar_content":false,"robots_default":true,"robots_noindex":false,"robots_noarchive":false,"robots_nosnippet":false,"robots_nofollow":false,"robots_noimageindex":false,"robots_noodp":false,"robots_notranslate":false,"robots_max_snippet":"-1","robots_max_videopreview":"-1","robots_max_imagepreview":"large","priority":null,"frequency":"default","local_seo":null,"breadcrumb_settings":null,"limit_modified_date":false,"ai":{"faqs":[],"keyPoints":[],"titles":[],"descriptions":[],"socialPosts":{"email":[],"linkedin":[],"twitter":[],"facebook":[],"instagram":[]}},"created":"2025-07-22 14:56:49","updated":"2025-08-11 06:52:13","seo_analyzer_scan_date":null,"focus_keyword":"cefalea","additional_keywords":null,"truseo_locale":null},"aioseo_breadcrumb":"<div class=\"aioseo-breadcrumbs\"><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/www.raffaellopagani-ccsvi.it\/es\/\" title=\"Home\">Home<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\t<a href=\"https:\/\/www.raffaellopagani-ccsvi.it\/es\/category\/ccsvi-es\/\" title=\"CCSVI\">CCSVI<\/a>\n\t\t<\/span><span class=\"aioseo-breadcrumb-separator\">\u00bb<\/span><span class=\"aioseo-breadcrumb\">\n\t\t\tCefalea ortost\u00e1tica y CCSVI: el v\u00ednculo invisible que muchos pasan por alto\n\t\t<\/span><\/div>","aioseo_breadcrumb_json":[{"label":"Home","link":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/"},{"label":"CCSVI","link":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/category\/ccsvi-es\/"},{"label":"Cefalea ortost\u00e1tica y CCSVI: el v\u00ednculo invisible que muchos pasan por alto","link":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/cefalea-ortostatica-y-ccsvi\/"}],"_links":{"self":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/posts\/4337","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/comments?post=4337"}],"version-history":[{"count":0,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/posts\/4337\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/media\/4187"}],"wp:attachment":[{"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/media?parent=4337"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/categories?post=4337"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.raffaellopagani-ccsvi.it\/es\/wp-json\/wp\/v2\/tags?post=4337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}