- Fellowship - UCLA/Doheny Eye Institute (1987-1989), Neuro-ophthalmology
- Other Post Graduate Training - University of Rochester School of Medicine and Dentistry (2002-2008), Public Health
- Residency - Baylor College of Medicine (1984-1987), Neurology
- Internship - Good Samaritan Hospital (1983-1984), Internal Medicine
- Medical School - Tulane University Medical School (1979-1983)
Deborah Friedman, M.D.
- Neuro-Ophthalmology Disorders
Deborah I. Friedman, M.D., M.P.H., is a Professor in the Department of Neurology and Neurotherapeutics and the Department of Ophthalmology at UT Southwestern Medical Center.
She is American Board of Psychiatry and Neurology-certified in neurology, with subspecialty certification in headache medicine by the United Council for Neurologic Subspecialties.
Dr. Friedman is a Fellow of the American Academy of Neurology, the American Headache Society, and the North American Neuro-Ophthalmology Society.
Her research interests include pseudotumor cerebri (idiopathic intracranial hypertension), ischemic optic neuropathy, and migraine therapy.
She has published nearly 100 peer-reviewed articles, authored or co-authored 15 book chapters, and delivered more than 200 lectures and presentations related to her work.
Dr. Friedman is active in many national and international organizations related to her subspecialties. She also serves as the associate editor of Headache, on the editorial boards of Neurology Reviews and Headache Currents, and as a reviewer for a number of neurology journals.
She joined the UT Southwestern faculty in 2011.
Dr. Friedman earned her medical degree at Tulane University Medical School. She completed a neurology residency at Baylor College of Medicine and a neuro-ophthalmology fellowship at Doheny Eye Institute in Los Angeles.
She also holds a Master of Public Health degree from the University of Rochester School of Medicine and Dentistry.
Meet Dr. Friedman
Neuro-Ophthalmologist in Dallas
Many people who suffer from debilitating migraine and cluster headaches are desperate for relief. UT Southwestern Medical Center neuro-ophthalmologist and headache expert Dr. Deborah Friedman is often able to provide it.
“I see the most challenging and complex headache patients, and we’re able to correctly diagnose and treat the majority of them very successfully,” Dr. Friedman says. “They’re highly motivated to get better, and we can usually help them do that.”
Dr. Friedman is Chief of the Division of Headache Medicine and the founding Director of UT Southwestern’s Headache and Facial Pain Program. She is also one of only a handful of U.S. physicians with special expertise in evaluating and treating conditions that overlap the fields of headache medicine and neuro-ophthalmology.
“My clinical niche is the interface of headache and the eyes and vision,” she says.
One condition in that niche is idiopathic intracranial hypertension – high blood pressure in the brain that has no known cause. Also called pseudotumor cerebri syndrome, the condition affects women of childbearing age and can lead to ongoing headaches and blindness if not successfully treated.
Dr. Friedman is also an expert in treating spontaneous intracranial hypotension – low blood pressure in the brain – which can cause headaches, as well.
Making the Right Diagnosis
“I love headache medicine because we can make people feel better, which is incredibly rewarding,” she says. “Patients tell us, ‘I had horrible headaches all my life, and nobody knew what to do. You gave me my life back, and I’m so grateful.’”
In most cases, she says, the key to effective headache treatment is correct diagnosis.
“The number-one thing we do in the Headache and Facial Pain Program is try to make the right diagnosis.”
Dr. Friedman also gets satisfaction from sharing her knowledge with others.
“I really enjoy being able to help people as an educator,” she says. “I’m proud of what I’m able to teach my patients, trainees, colleagues, and others.”
Thankfully, people with headache disorders have reason to be optimistic.
“There are a lot of new things going on in headache medicine – from new delivery systems like intranasal sprays, injectables, and monoclonal antibodies to state-of-the-art implanted stimulators,” Dr. Friedman says. “It’s a great time to work in this field.”
Note: Dr. Friedman’s patients require a referral and must already have been seen by a neurologist.
- American Academy of Neurology (1985), Chair of Headache and Facial Pain Section 2011-2013
- North American Neuro-Ophthalmology Society (1988), Past Board Chair, President, President Elect, Secretary, Treasurer
- Association for Research in Vision and Ophthalmology (1988)
- American Academy of Ophthalmology (1990)
- American Headache Society (1998), Board of Directors 2004-2010, Legislative Affairs Liaison, Ethics Committee
- International Headache Society (2003)
- United Council for Neurologic Specialties (2005), Headache Medicine Examination Committee
- Fellow, North American Neuro-Ophthalmology Society 1991
- Fellow of American Academy of Neurology 1998
- 2000 Notable American Women 2000
- Fellow of American Headache Society 2005
- Who's Who in America 2011
- US News and World Report Top Doctors 2011
- Rochester Business Alliance Women's Council 2011, Athena Award Finalist
- Best Doctors in America 2011, Since 1998
Wolff?s Headache and Other Face Pain
Friedman DI, Wall M, Silberstein S(Ed.) (2007), New York, Oxford University Press
Neurology: Basic and Clinical Neuroscience
Friedman DI(Ed.) (2006), London, Mosby
Friedman DI(Ed.) (1998 (revised 2001)), Mosby, Lynton House
Advances in Neurology
Jankovic J, Friedman DI, Pirozzolo FJ, McCrary JA(Ed.) (1990), New York, NY, Raven Press
Friedman DI, Jankovic J(Ed.) (1989), Chicago, IL, Year Book Medical Publishers
The Headaches, Third Edition
Friedman DI, Corbett JJ(Ed.) (2005), Philadelphia, Lippincott Williams & Wilkins
Walsh and Hoyt?s Clinical Neuro-Ophthalmology, 5th edition
Friedman DI(Ed.) (2005), Baltimore, Lippincott Williams & Wilkins
Essentials of Neuro-Ophthalmology
Friedman DI(Ed.) (2005), New York, Thieme
Friedman DI, Estronza N.(Ed.) (1998 (revised 2001)), Mosby, Lynton House
- Wolff?s Headache and Other Face Pain
Arteriovenous malformation presenting as hemidystonia.
Friedman DI, Jankovic J, Rolak LA Neurology 1986 Dec 36 12
Computed tomography and magnetic resonance imaging in the diagnosis of inflammatory disease of the optic nerve.
McCrary JA, Demer JL, Friedman DI, Mawad MM Survey of ophthalmology 1987 Mar-Apr 31 5
Eye movements in acquired immunodeficiency syndrome.
Friedman DI, Feldon SE Archives of neurology 1989 Aug 46 8
Oculomotor palsy with cyclic spasms.
Friedman DI, Wright KW, Sadun AA Neurology 1989 Sep 39 9
Progressive supranuclear palsy: motor, neurobehavioral, and neuro-ophthalmic findings.
Jankovic J, Friedman DI, Pirozzolo FJ, McCrary JA Advances in neurology 1990 53
Tonic pupils as a result of botulism.
Friedman DI, Fortanasce VN, Sadun AA American journal of ophthalmology 1990 Feb 109 2
Progressive cranial polyneuropathy caused by primary central nervous system melanoma.
Fish LA, Friedman DI, Sadun AA Journal of clinical neuro-ophthalmology 1990 Mar 10 1
Neuro-ophthalmic complications of interleukin 2 therapy.
Friedman DI, Hu EH, Sadun AA Archives of ophthalmology 1991 Dec 109 12
Neuro-ophthalmic manifestations of human immunodeficiency virus infection.
Friedman DI Neurologic clinics 1991 Feb 9 1
Labeling of human retinohypothalamic tract with the carbocyanine dye, DiI.
Friedman DI, Johnson JK, Chorsky RL, Stopa EG Brain research 1991 Sep 560 1-2
Neuro-ophthalmic findings in progressive supranuclear palsy.
Friedman DI, Jankovic J, McCrary JA Journal of clinical neuro-ophthalmology 1992 Jun 12 2
Interaction between bacteriophage lambda and its Escherichia coli host.
Friedman DI Current opinion in genetics & development 1992 Oct 2 5
Orbital malignant peripheral nerve sheath tumors. Treatment with surgical resection and radiation therapy.
Erzurum SA, Melen O, Lissner G, Friedman DI, Sadun A, Feldon SE, Rao NA Journal of clinical neuro-ophthalmology 1993 Mar 13 1
'Reappearance' of congenital nystagmus after minor head trauma.
Friedman DI, Dell'Osso LF Neurology 1993 Nov 43 11
Headache caused by a single lesion of multiple sclerosis in the periaqueductal gray area.
Haas DC, Kent PF, Friedman DI Headache 1993 Sep 33 8
Neuropeptide Y receptor distribution and regulation in the suprachiasmatic nucleus of the Syrian hamster (Mesocricetus auratus).
Stopa EG, Johnson JK, Friedman DI, Ryer HI, Reidy J, Kuo-LeBlanc V, Albers HE Peptide research 1995 Mar-Apr 8 2
Visual pathway hemorrhage associated with alcohol-induced coagulopathy.
Friedman DI, Aravapalli SR, Shende MC Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 1996 Jun 16 2
Pseudotumor associated with CNS lymphoma.
Hudson HL, Hinton DR, Friedman DI, Apuzzo M, Chandrasoma P, Garbut M, Feldon SE Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 1996 Sep 16 3
Idiopathic intracranial hypertension and orthostatic edema may share a common pathogenesis.
Friedman DI, Streeten DH Neurology 1998 Apr 50 4
Unusual ocular motility disturbances with increased intracranial pressure.
Friedman DI, Forman S, Levi L, Lavin PJ, Donahue S Neurology 1998 Jun 50 6
Friedman DI Neurosurgery clinics of North America 1999 Oct 10 4
Expert opinion: the management of pseudotumor cerebri during pregnancy.
Evans RW, Friedman DI Headache 2000 Jun 40 6
Multiple sclerosis simulating a mass lesion.
Friedman DI Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2000 Sep 20 3
Papilledema and pseudotumor cerebri.
Friedman DI Ophthalmology clinics of North America 2001 Mar 14 1
Headache diagnoses in patients with treated idiopathic intracranial hypertension.
Friedman DI, Rausch EA Neurology 2002 May 58 10
Diagnostic criteria for idiopathic intracranial hypertension.
Friedman DI, Jacobson DM Neurology 2002 Nov 59 10
Friedman DI Neurologic clinics 2004 Feb 22 1
Idiopathic intracranial hypertension.
Friedman DI, Jacobson DM Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2004 Jun 24 2
Doxycycline and intracranial hypertension.
Friedman DI, Gordon LK, Egan RA, Jacobson DM, Pomeranz H, Harrison AR, Goldhammer Y Neurology 2004 Jun 62 12
The eye and headache.
Friedman DI Ophthalmology clinics of North America 2004 Sep 17 3
Medication-induced intracranial hypertension in dermatology.
Friedman DI American journal of clinical dermatology 2005 6 1
The utility of bedside ultrasound and patient perception in detecting soft tissue foreign bodies in children.
Friedman DI, Forti RJ, Wall SP, Crain EF Pediatric emergency care 2005 Aug 21 8
Cerebral venous pressure, intra-abdominal pressure, and dural venous sinus stenting in idiopathic intracranial hypertension.
Friedman DI Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2006 Mar 26 1
Retinal migraine reappraised.
Grosberg BM, Solomon S, Friedman DI, Lipton RB Cephalalgia : an international journal of headache 2006 Nov 26 11
Idiopathic intracranial hypertension.
Friedman DI Current pain and headache reports 2007 Feb 11 1
Headache associated with miller fisher syndrome.
Friedman DI, Potts E Headache 2007 Oct 47 9
Solomon S, Grosberg BM, Friedman DI, Lipton RB Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2007 Sep 27 3
Headache and the eye.
Friedman DI Current pain and headache reports 2008 Aug 12 4
Pseudotumor cerebri presenting as headache.
Friedman DI Expert review of neurotherapeutics 2008 Mar 8 3
Perceptual relearning of complex visual motion after V1 damage in humans.
Huxlin KR, Martin T, Kelly K, Riley M, Friedman DI, Burgin WS, Hayhoe M The Journal of neuroscience : the official journal of the Society for Neuroscience 2009 Apr 29 13
Migraine and the environment.
Friedman DI, De ver Dye T Headache 2009 Jun 49 6
Idiopathic intracranial hypertension with Dan and beyond: the 2010 Jacobson Lecture.
Friedman DI Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2010 Dec 30 4
Friedman DI Seminars in neurology 2010 Feb 30 1
Headache attributable to disorders of the eye.
Friedman DI, Gordon LK, Quiros PA Current pain and headache reports 2010 Feb 14 1
The ophthalmoplegic migraines: a proposed classification.
Friedman DI Cephalalgia : an international journal of headache 2010 Jun 30 6
An overweight young woman with new headache and normal-appearing optic discs.
Digre KB, Friedman DI Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2010 Mar 30 1
Topirimate-induced burning mouth syndrome.
Friedman DI Headache 2010 Sep 50 8
Neuro-ophthalmology and its contribution to headaches: a case-based approach.
Friedman DI, Frishberg B Expert review of neurotherapeutics 2010 Sep 10 9
Stenting of the transverse sinuses in idiopathic intracranial hypertension.
Ahmed R, Friedman DI, Halmagyi GM Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2011 Dec 31 4 374-80
Characteristics of migraine visual aura in Southern Brazil and Northern USA.
Queiroz LP, Friedman DI, Rapoport AM, Purdy RA Cephalalgia : an international journal of headache 2011 Dec 31 16 1652-8
Open-label trial of recombinant human insulin-like growth factor 1/recombinant human insulin-like growth factor binding protein 3 in myotonic dystrophy type 1.
Heatwole CR, Eichinger KJ, Friedman DI, Hilbert JE, Jackson CE, Logigian EL, Martens WB, McDermott MP, Pandya SK, Quinn C, Smirnow AM, Thornton CA, Moxley RT Archives of neurology 2011 Jan 68 1
Weight gain and recurrence in idiopathic intracranial hypertension: a case-control study.
Ko MW, Chang SC, Ridha MA, Ney JJ, Ali TF, Friedman DI, Mejico LJ, Volpe NJ, Galetta SL, Balcer LJ, Liu GT Neurology 2011 May 76 18 1564-7
Lemierre syndrome causing bilateral cavernous sinus thrombosis.
Miller B, Khalifa Y, Feldon SE, Friedman DI Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2012 Dec 32 4 341-4
Headache medicine meets neuro-ophthalmology: exam techniques and challenging cases.
Friedman DI, Digre KB Headache 2013 Apr 53 4 703-16
Expert Consensus Recommendations for the Performance of Peripheral Nerve Blocks for Headaches - A Narrative Review.
Blumenfeld A, Ashkenazi A, Napchan U, Bender SD, Klein BC, Berliner R, Ailani J, Schim J, Friedman DI, Charleston L, Young WB, Robertson CE, Dodick DW, Silberstein SD, Robbins MS Headache 2013 Feb
Friedman DI, Kawasaki A Neurology 2013 Nov 81 19 1724
Effect of Patient Positioning on Cerebrospinal Fluid Opening Pressure.
Abel AS, Brace JR, McKinney AM, Friedman DI, Smith SD, Westesson PL, Nascene D, Ott F, Lee MS Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 2013 Nov
Unanswered Questions in Headache: So What Is Photophobia, Anyway?
Friedman DI Headache 2013 Oct
Pseudotumor Cerebri Pathophysiology.
McGeeney BE, Friedman DI Headache 2014 Jan
Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children.
De Simone R, Ranieri A, Montella S, Friedman DI, Liu GT, Digre KB Neurology 2014 Mar 82 11 1011-2
- Arteriovenous malformation presenting as hemidystonia.
- Migraine Therapy
- Ischemic Optic Neuropathy
- Idiopathic Intracranial Hypertension (Pseudotumor Cerebri)
- Neuro-Ophthalmology Disorders