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Related Experiment Videos

[Tension-type headache].

A Fumal1, J Schoenen

  • 1Département Universitaire de Neurologie et Neuroanatomie, CHR Citadelle, Liège, Belgique. Arnaud.Fumal@ulg.ac.be

Revue Neurologique
|September 6, 2005
PubMed
Summary
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See all related articles

Tension-type headache (TTH) is common, with episodic TTH affecting 80% and chronic TTH (CTTH) affecting 3%. Peripheral mechanisms are implicated in episodic TTH, while central mechanisms are key in CTTH, with combined therapies showing promise.

Area of Science:

  • Neurology
  • Pain Medicine

Context:

  • Tension-type headache (TTH) is the most prevalent headache disorder.
  • Diagnosis often relies on excluding other headache types like migraine.
  • Episodic TTH affects approximately 80% of the population, while chronic TTH (CTTH) affects 3%.

Purpose:

  • To review the pathophysiology and treatment of TTH.
  • To differentiate between episodic and chronic TTH mechanisms.
  • To outline current therapeutic strategies for acute and preventive management.

Summary:

  • TTH diagnosis is primarily exclusionary.
  • Pathophysiology differs between episodic (peripheral mechanisms) and chronic (central mechanisms) TTH.
  • Acute TTH treatment includes ibuprofen and naproxen; CTTH prevention involves tricyclic antidepressants and behavioral therapies.

Related Experiment Videos

Impact:

  • Provides a comprehensive overview of TTH.
  • Highlights the importance of distinguishing TTH subtypes for effective treatment.
  • Suggests combination therapy for CTTH offers superior outcomes.