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Tension type headache features

Ling-Feng Lai, Min Chen, Jia-Xiang Chen, Kuang Zheng, Xu-Ying He, Xi-Feng Li, Xin Zhang, Jian Yin, Qiu-Jing Wang, Tuan-Ming Zou, Chuan-Zhi Duan
BACKGROUND: Symptomatic headaches attributed to unruptured brain arteriovenous malformations (ubAVMs) are very common and affect patients' quality life, but multidisciplinary care of ubAVMs to improve symptomatic headache remains unclear. OBJECTIVE: The objective is to identify the features of symptomatic headaches, and to obtain headache outcomes following multidisciplinary care of ubAVMs, as well as provide background on the natural history of ubAVMs. STUDY DESIGN: The features of symptomatic headaches and headache outcomes were analyzed in a large cohort of cases after multidisciplinary care of ubAVMs...
January 2017: Pain Physician
Christian L Seifert, Etienne M Schönbach, Claus Zimmer, Annette Förschler, Thomas R Tölle, Regina Feurer, Jens Gempt, Athina Papadopoulou, Stefano Magon, Till Sprenger, Holger Poppert
Background We have recently shown that the presence of headache in ischemic stroke is associated with lesions of the insular cortex. The aim of this post-hoc subgroup analysis was to investigate the association of specific headache features with stroke location in patients with acute ischemic stroke. Methods In this observational study, patients (mean age: 61.5, 58% males) with ischemic stroke and acute headache (n = 49) were investigated. Infarcts were manually outlined on 3D diffusion weighted magnetic resonance imaging (MRI) scans and transformed into standard stereotaxic space; lesions of the left hemisphere were mirrored in the x-axis to allow a voxel-wise group analysis of all patients...
January 1, 2016: Cephalalgia: An International Journal of Headache
Hye Lim Lee, Minju Yeo, Gi Hwa Choi, Ji Yeoun Lee, Ji Seon Kim, Dong-Ick Shin, Sang-Soo Lee, Sung-Hyun Lee
OBJECTIVES: When physicians encounter patients with headache or facial pain (preeruptive pain) associated with acute herpes zoster of the head, especially before the appearance of characteristic skin eruptions (preeruptive phase), they typically find it difficult to make clinical impressions and apply appropriate diagnostic or therapeutic procedures. The objectives of this study were to describe the clinical characteristics of headache or facial pain associated with acute herpes zoster of the head and to elucidate the association between the manifestation of these symptoms in the preeruptive phase and incoming herpes zoster...
January 2017: Clinical Neurology and Neurosurgery
María Palacios-Ceña, Kelun Wang, Matteo Castaldo, Amparo Guillem-Mesado, Carlos Ordás-Bandera, Lars Arendt-Nielsen, César Fernández-de-Las-Peñas
OBJECTIVE: To investigate the association between trigger points (TrPs) and widespread pressure pain sensitivity in people with tension-type headache (TTH) and to determine if this association is different between frequent episodic (FETTH) or chronic (CTTH) headache. DESIGN: A cross-sectional study. METHODS: One hundred and fifty-seven individuals (29% male) with TTH participated. Clinical features of headache, i.e., intensity, duration, and frequency, were recorded in a headache diary...
November 14, 2016: Cephalalgia: An International Journal of Headache
María Palacios Ceña, Matteo Castaldo, Kelun Wang, Paola Torelli, Paolo Pillastrini, César Fernández-de-Las-Peñas, Lars Arendt-Nielsen
OBJECTIVE: To investigate differences in widespread pressure pain hyperalgesia in the trigemino-cervical and extra-trigeminal (distant pain-free) regions in women with frequent episodic (FETTH) and chronic (CTTH) tension-type headache. BACKGROUND: It seems that people with tension-type headache exhibit central sensitization. No study has investigated differences between FETTH and CTTH in terms of widespread pressure pain hypersensitivity. METHODS: Forty-three women with FETTH, 42 with CTTH, and 45 women without headache diagnosis were recruited...
November 11, 2016: Headache
K Rammohan, Shyma M Mundayadan, Robert Mathew
CONTEXT: Nummular headache (NH) is a primary disorder characterized by head pain exclusively felt in a small-rounded area typically 2-6 cm in diameter. AIMS: The aim of this review is to study the clinical and epidemiological features of NH in a patient population of South India and to compare this with that of described in the international literature. SETTINGS AND DESIGN: A prospective, observational study conducted in a tertiary care center...
October 2016: Journal of Neurosciences in Rural Practice
M Sertel, T T Şimşek, E T Yümin
Objective: The aim of this study was to examine the effect of body awareness therapy on pain, fatigue, and quality of life in women with tension type headache and migraine. Methods: Socio-demographic features of patients who are included in the study were recorded. Visual analogue scale (VAS) was used for pain and fatigue severity scale (FSS) was used for fatigue, Nottingham health profile (NHP) was used for life quality related with health. Following the first evaluation, body awareness therapy (BAT) was applied for patients for six weeks per 60 minutes in three sessions...
February 19, 2016: West Indian Medical Journal
Evangelos Anagnostou, Michael Vikelis, Elias Tzavellas, Apostolia Ghika, Ioanna Kouzi, Ioannis Evdokimidis, Evangelia Kararizou
OBJECTIVES: Although photophobia is a well-known symptom in various disorders, it has rarely been studied explicitly and its definition in a clinical setting can be somewhat elusive. Here, we assessed photophobia with a common psychometric tool in different conditions, in which light intolerance is considered part of the syndrome. PATIENTS AND METHODS: A prospective study was undertaken in patients with migraine (MH), cluster headache (CH), tension-type headache (TH), essential blepharospasm (BS) and major depression (MD)...
August 31, 2016: International Journal of Neuroscience
Maryam Moghaddassi, Mansoureh Togha, Farhad Shahram, Hamed Hanif, Sahar Dadkhah, Soodeh Razeghi Jahromi, Mohammad Mozafari
BACKGROUND: Behcet's disease involves several systems in the body. Neurological involvement is identified by different symptoms. Headache is one of the common complaints of patients with Behcet's disease. It might be a part of neurological involvement or may arise independently in the course of disease. Studies with small sample size have resulted in various findings in this field. Since the prevalence of Behcet's disease is relatively high in Iran, this study was carried out to compare the features of headache between an acceptable number of patients with this rare disease and a control group...
2016: SpringerPlus
Roberto Torriero, Alessandro Capuano, Rosanna Mariani, Roberto Frusciante, Samuela Tarantino, Laura Papetti, Federico Vigevano, Massimiliano Valeriani
BACKGROUND: Criteria defined by the International headache Society are commonly used for the diagnosis of the different headache types in both adults and children. However, some authors have stressed some limits of these criteria when applied to preschool age. OBJECTIVE: Our study aimed to describe the characteristics of primary headaches in children younger than 6 years and investigate how often the International Classification of Headache Disorders (ICHD) criteria allow a definitive diagnosis...
July 18, 2016: Cephalalgia: An International Journal of Headache
Tal Eidlitz Markus, Avraham Zeharia, Yishai Haimi Cohen, Osnat Konen
The aim of the study was to investigate clinical features of headache associated with minor versus moderate to severe traumatic brain injury and of posttraumatic versus primary headache in children and adolescents. Study group included 74 patients after mild (n = 60) or moderate to severe (n = 14) traumatic brain injury identified by retrospective review of the computerized files of a tertiary pediatric headache clinic. Forty patients (54%) had migraine-like headache, 23 (31.1%) tension-like headache, and 11 (14...
September 2016: Journal of Child Neurology
Hyun Jin Min, Kyung Soo Kim
We reported a case of infection of pneumatized crista galli presented with frontal headache having similar features suggestive of tension type headache. Although it may be an extremely rare cause of frontal headache, we reviewed reported literatures focusing on the frontal sinus pathologies affecting pneumatized crista galli. This case highlights that both the primary and secondary headache disorders may cause headache in the frontal region, and therefore need to be considered in the differential diagnosis.
June 2016: Journal of Craniofacial Surgery
Dean H Watson, Peter D Drummond
OBJECTIVE: To investigate signs of central sensitization in a cohort of patients with chronic whiplash associated headache (CWAH). BACKGROUND: Central sensitization is one of the mechanisms leading to chronicity of primary headache, and thus might contribute to CWAH. However, the pathophysiological mechanism of CWAH is poorly understood and whether it is simply an expression of the primary headache or has a distinct pathogenesis remains unclear. Thus, the factors involved in the genesis of CWAH require further investigation...
June 2016: Headache
Hida Nierenburg, Lawrence C Newman
New daily persistent headache (NDPH) is an uncommon and under-recognized primary headache disorder. Clinically, NDPH may resemble migraine or tension-type headache. Unlike migraine or tension-type headaches, however, a distinguishing feature of NDPH is that the majority of patients with NDPH can pinpoint the exact date of onset of symptoms. While cases can arise de novo, in multiple reports, a viral illness precedes the onset of headache. NDPH has two temporal profiles: a self-limited form that resolves spontaneously without treatment and a refractory, persistent form in which headaches continue unabated for years...
June 2016: Current Treatment Options in Neurology
Amal Khourieh Matar, Nogah C Kerem, Isaac Srugo, Jacob Genizi
BACKGROUND: Primary headaches are one of the most common disorders of childhood, with migraine and tension type headaches (TTHs) being the most frequent ones. In spite of their prevalence, there is paucity of knowledge regarding the underlying pathophysiological mechanisms that cause headaches and regarding the unique aspects of headaches in children and adolescents. AIM: To review the literature and summarize the knowledge regarding clinical features, diagnosis and management of primary headache in children and adolescents, mainly migraine and TTH...
December 2015: Harefuah
Dong Wook Kim, Jun-Sang Sunwoo, Sang Kun Lee
BACKGROUND: Headache can be associated with epilepsy as a pre-ictal, ictal, or post-ictal phenomenon; however, studies of patients with headache as an epileptic aura are scarce. We performed the present study to investigate the incidence and characteristics of headache as an epileptic aura, via confirmation of electroencephalography (EEG) changes by video-EEG monitoring. METHODS: Data of aura and clinical seizure episodes of 831 consecutive patients who undertook video-EEG monitoring were analyzed retrospectively...
April 2016: Headache
Kai Huggenberger, Egle Raudyte, Peter S Sándor, Andreas R Gantenbein
Headaches are amongst the most common reasons for visiting a general practitioner in Switzerland. The key features in differentiating migraine from other types of headache are the pulsating pain, interfering with daily activities, and the hypersensitivity to stimuli such as light or sound. Around 15 % of the patients report a preceeding aura, consisting of transient neurological symptoms. An effective migraine management is based on non-pharmacological treatment as well as acute and preventive medication...
February 17, 2016: Praxis
Soo-Kyoung Kim, Heui-Soo Moon, Myong-Jin Cha, Byung-Su Kim, Byung-Kun Kim, Jeong-Wook Park, Kwang-Yeol Park, Jong-Hee Sohn, Min-Kyung Chu, Tae-Jin Song, Jae-Moon Kim, Soo-Jin Cho
OBJECTIVES: This study aimed to determine the characteristics and significance of a probable diagnostic entity for primary headache disorder (PHD). BACKGROUND: A diagnosis of probable primary headache disorder (PPHD) is given when a patient's headache fulfills all but one criteria of the third beta edition of the international classification of headache disorder (ICHD-3β). Despite the uncertainty regarding this diagnosis, the inclusion of a probable diagnosis entity in this manual may aid in the accurate classification of headache disorders and allow effective treatment strategies to be started at the patient's initial visit...
February 2016: Headache
Marina de Tommaso, César Fernández-de-Las-Penas
Tension type headache (TTH) is the most common headache and it has been discussed for years without reaching consensus on its pathophysiology, or proper rationale management. This primary headache remains a challenge into its management for clinicians. This review aims to provide an updated and critical discussion on what is currently known and supported by scientific evidence about TTH and which gaps there still may be in our understanding of this condition. Clinical features of TTH resemble common manifestations of muscle referred pain...
2016: Current Rheumatology Reviews
Yanping Wu, Huilong Duan, Shufeng Du
BACKGROUND: In recent years, the use of the fuzzy c-means (FCM) clustering techniques in medical diagnosis has steadily increased, because of its effectiveness in recognizing systems in the medical database to help medical experts diagnosing diseases. However, its performance is highly dependent on the randomly initialized cluster centroids which may allow the diagnosis to be trapped into the problem of the local optimum. OBJECTIVE: This paper proposes a multiple fuzzy c-means (MFCM) algorithm for medical diagnosis...
2015: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
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