Tension headache diagnostic criteria

Tension Headache Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Tension Headache from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Criteria
History and Symptoms
Physical Examination
Laboratory Findings
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Tension headache diagnostic criteria On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Tension headache diagnostic criteria All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Tension headache diagnostic criteria
CDC on Tension headache diagnostic criteria
Tension headache diagnostic criteria in the news
Blogs on Tension headache diagnostic criteria
Directions to Hospitals Treating Tension headache
Risk calculators and risk factors for Tension headache diagnostic criteria

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sabeeh Islam, MBBS[2]

Overview

Diagnostic criteria for tension-type headache is specified by the International Classification of Headache Disorders, 3rd edition (ICHD-3).

Diagnostic Criteria For Episodic Tension Type headache

• Episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting minutes to days. The pain does not worsen with routine physical activity and is not associated with nausea, but photophobia or phonophobia may be present. Increased pericranial tenderness may be present on manual palpation.

1. At least 10 episodes of headache fulfilling criteria 2 through 4. Infrequent and frequent episodic subforms of TTH are distinguished as follows:
   • Infrequent episodic TTH: Headache occurring on <1 day per month on average (<12 days per year).
   • Frequent episodic TTH: Headache occurring on 1 to 14 days per month on average for >3 months (≥12 and <180 days per year).
2. Headache lasting from 30 minutes to seven days.
3. At least two of the following four characteristics
   • Bilateral location.
   • Pressing or tightening (nonpulsating) quality.
   • Mild or moderate intensity.
   • Not aggravated by routine physical activity such as walking or climbing stairs
4. Both of the following:
   • No nausea or vomiting.
   • No more than one of photophobia or phonophobia.
5. Not better accounted for by another ICHD-3 diagnosis.

Diagnostic Criteria For Chronic Tension Type headache

• A disorder evolving from frequent episodic tension-type headache, with daily or very frequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting hours to days, or unremitting. The pain does not worsen with routine physical activity, but may be associated with mild nausea, photophobia or phonophobia.

1. Headache occurring on ≥15 days per month on average for more than three months (≥180 days per year) and fulfilling criteria 2 through 4
2. Lasting hours to days, or unremitting
3. At least two of the following characteristics:
   • Bilateral location.
   • Pressing or tightening (nonpulsating) quality.
   • Mild or moderate intensity.
   • Not aggravated by routine physical activity such as walking or climbing stairs
4. Both of the following:
   • No more than one of photophobia, phonophobia or mild nausea
   • Neither moderate or severe nausea nor vomiting
5. Not better accounted for by another ICHD-3 diagnosis

References

Template:WikiDoc Sources