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[Tension headache--a review].

V Pfaffenrath1, A Wermuth, W Pöllmann

  • 1Gemeinschaftspraxis, München.

Fortschritte Der Neurologie-Psychiatrie
|December 1, 1988
PubMed
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Tension headache (TH) is a common headache syndrome. Tricyclic antidepressants can effectively prevent TH, but only if patients stop abusing pain medications.

Area of Science:

  • Neurology
  • Pharmacology

Context:

  • Tension-type headache (TH) is a prevalent neurological disorder.
  • TH is characterized by bilateral, daily headaches and can be associated with migraine and medication overuse.

Purpose:

  • To explore the etiology and treatment of tension-type headache.
  • To evaluate the role of tricyclic antidepressants in TH prophylaxis.

Summary:

  • Vascular, muscular, and psychogenic factors are implicated in TH etiology.
  • Increased muscle tension may be a consequence, not a cause, of TH.
  • Tricyclic antidepressants enhance serotonergic and noradrenergic pathways, increasing pain thresholds for TH treatment.

Impact:

  • TH prophylaxis is recommended for patients experiencing headaches more than ten times per month.

Related Experiment Videos

  • Amitriptyline-type tricyclic antidepressants are effective for TH prevention.
  • Successful TH prophylaxis requires discontinuing analgesic or ergotamine overuse; complementary therapies like biofeedback may assist.