Headache Specific Causes

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TENSION TYPE HEADACHE

Mechanism:

Treatment:

This is the commonest form of headache experienced by 70% of males and 90% of females at some time in their lives.

Characteristics: Diffuse, dull, aching, 'band-like' headache, worse on touching the scalp and aggravated by noise; associated with 'tension' but not with other physical symptoms.

Duration: Many hours - days.

Frequency: Infrequent or daily; worse towards the end of the day. May persist over many years. 'Muscular' due to persistent contraction, e.g. clenching teeth, head posture, furrowing of brow. Reassurance

Attempt to reduce psychological stress Benzodiazepines, e.g. diazepam (short course) Antidepressants.

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