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Related Experiment Videos

Tension-type headaches

S D Silberstein1

  • 1Comprehensive Headache Center, Philadelphia, PA.

Headache
|September 1, 1994
PubMed
Summary
This summary is machine-generated.

Tension-type headache, a common disorder, is precisely defined by the International Headache Society. Distinguishing between episodic and chronic forms, it requires differentiation from chronic daily headache syndromes.

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Area of Science:

  • Neurology
  • Headache Medicine

Background:

  • Tension-type headache (TTH) is the current term for previously varied headache classifications.
  • The International Headache Society (IHS) provides precise definitions for TTH, categorizing it into episodic and chronic forms.
  • TTH is further classified based on association with pericranial muscle disorders.

Purpose of the Study:

  • To clarify the definition and classification of tension-type headache.
  • To highlight the distinction between TTH and chronic daily headache (CDH).
  • To discuss the heterogeneity of CDH and its primary and secondary causes.

Main Methods:

  • Review of International Headache Society (IHS) classifications.
  • Analysis of diagnostic criteria for TTH and CDH.
  • Discussion of clinical study limitations, including selection bias.

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Main Results:

  • TTH is precisely defined by IHS, with distinctions made between episodic and chronic varieties.
  • Clinic-based studies may exhibit selection bias, including patients with more severe headaches or comorbid conditions.
  • Chronic TTH and chronic daily headache are not identical, necessitating careful differentiation.

Conclusions:

  • Accurate classification of TTH is crucial for understanding headache disorders.
  • Chronic daily headache is a syndrome encompassing multiple primary and secondary headache types.
  • Distinguishing TTH from CDH is important, as is recognizing medication overuse in frequent headache sufferers.