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3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
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Headache (chronic tension-type).

Nicholas Silver1

  • 1The Walton Centre for Neurology and Neurosurgery, Liverpool, UK.

BMJ Clinical Evidence
|May 21, 2009
PubMed
Summary
This summary is machine-generated.

This systematic review examines drug and non-drug treatments for chronic tension-type headache (CTTH). It found evidence on interventions like acupuncture, amitriptyline, and cognitive behavioral therapy, informing clinical practice for this common headache disorder.

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Area of Science:

  • Neurology
  • Evidence-based Medicine

Background:

  • Chronic tension-type headache (CTTH) is a prevalent disorder, affecting 4.1% of the US population, with higher incidence in women.
  • CTTH evolves from episodic tension-type headache, characterized by frequent, long-lasting headache episodes.

Purpose of the Study:

  • To systematically review the effects of drug and non-drug treatments for chronic tension-type headache.
  • To answer clinical questions regarding the efficacy and safety of various CTTH interventions.

Main Methods:

  • Conducted a systematic literature search across major databases (Medline, Embase, Cochrane Library) up to October 2005.
  • Included 38 systematic reviews, randomized controlled trials (RCTs), and observational studies.
  • Performed a GRADE evaluation to assess the quality of evidence for interventions.

Main Results:

  • The review identified and evaluated evidence for a range of interventions.
  • Included pharmacological treatments such as amitriptyline, mirtazapine, serotonin reuptake inhibitors, and tricyclic antidepressants.
  • Also assessed non-pharmacological therapies including acupuncture, cognitive behavioral therapy, relaxation, and electromyographic biofeedback.

Conclusions:

  • Presents information on the effectiveness and safety of diverse CTTH treatments.
  • Highlights interventions such as acupuncture, amitriptyline, cognitive behavioral therapy, and other antidepressants.
  • Provides a basis for informed clinical decision-making regarding CTTH management.