China
Africa
Explore chapters and articles related to this topic
Miscellaneous
Published in Ibrahim Natalwala, Ammar Natalwala, E Glucksman, MCQs in Neurology and Neurosurgery for Medical Students, 2022
Ibrahim Natalwala, Ammar Natalwala, E Glucksman
ii – This is the typical pattern of a tension headache. It is brought on by fatigue and stress. Tension headaches are typically bilateral, and described as a tight, band-like pain or pressure around the head. The course of the headache is unpredictable.1
Disorders of the nervous system
Published in Judy Bothamley, Maureen Boyle, Medical Conditions Affecting Pregnancy and Childbirth, 2020
Tension headaches are the most common headache overall. They are bilateral, mild to moderate in intensity and are often described as squeezing or pressure-like. They are not usually associated with nausea but if it is present, it is minimal69. Tension headaches are thought to be due to muscular tension and are related to periods of stress9. Tension headaches have not been studied much in pregnancy, so it is difficult to determine the impact of pregnancy on the incidence of tension headaches69, but anecdotal evidence is that they may increase in early pregnancy due to caffeine withdrawal, fatigue, dehydration and increased anxiety.
Disorders of the nervous system
Published in Judy Bothamley, Maureen Boyle, Medical Conditions Affecting Pregnancy and Childbirth, 2020
Tension headaches are the most common headache overall. They are bilateral, mild to moderate in intensity and are often described as squeezing or pressure-like. They are not usually associated with nausea, but if it is present it is minimal (Lowe, 2007; Pickard and Barbour, 2008). Tension headaches are thought to be due to muscular tension and are related to periods of stress (Nelson-Piercy, 2006). They generally improve with rest and simple analgesics (Lowe, 2007). Tension headaches have not been studied much in pregnancy, so it is difficult to determine the impact of pregnancy on the incidence of tension headaches. Some writers suggest little change in their incidence (Pickard and Barbour, 2008), whilst others suggest that psychological factors and muscular skeletal changes in pregnancy increase the likelihood of such headaches (Von Wald and Walling, 2002).
A rational approach to migraine diagnosis and management in primary care
Published in Annals of Medicine, 2021
Vincent T. Martin, Alexander Feoktistov, Glen D. Solomon
The main differential diagnoses for migraine are tension-type headache and cluster headache [28]. Distinguishing features between these headache types include the typical location, quality, severity, and duration of pain, associated symptoms, and typical behaviour during attack, as shown in Figure 2 [32]. Briefly, tension headaches generally have mild-to-moderate, bilateral pain and lack migraine-associated symptoms (e.g. nausea and photophobia). Cluster headaches are associated with severe unilateral pain, ipsilateral autonomic symptoms (rhinorrhea, lacrimation, etc.), and duration <3 h. Medication overuse (≥15 days/month for simple analgesics; ≥10 days/month for triptans, ergots, combination analgesics or opioids) can increase the baseline frequency of any headache disorder and should be assessed once the primary headache is diagnosed.
Senior-Løken syndrome and intracranial hypertension
Published in Ophthalmic Genetics, 2020
In the year preceding this presentation, the proband had frequent throbbing headaches, in the temple and frontal regions, controlled with paracetamol. No transient obscurations of vision, nausea, vomiting or tinnitus were present. Hence, the symptoms were attributed to tension headaches. Vision was subjectively stable, although she described increased photophobia. On return from holiday, she underwent a comprehensive ophthalmology review; BCVA was reduced from baseline to 0.5 right eye and 0.4 left eye, and both optic nerves were elevated, with no haemorrhage, indicating a degree of chronicity. This was confirmed on retinal nerve fibre layer OCT and compared with previous scans was consistent with papilloedema (Figure 2). Oral acetazolamide at a reduced dose of 125 mg twice daily was started, in consultation with the patient’s renal physician and with regular monitoring of renal function. Four weeks later, a significant improvement in headaches was reported with reduction in photophobia. BCVA also improved to baseline at 0.3 both eyes, with reduced optic nerve head swelling, confirmed on RNFL (Figure 2). Humphrey visual fields showed significant visual field constriction in both eyes that could not be accurately interpreted due to the significant peripheral visual field constriction from her pre-existing condition. In view of this improvement, acetazolamide was reduced to 125 mg once a day. The patient remains on regular review and decisions to continue or taper off treatment will be assessed based on her symptoms, clinical findings, renal function, and the OCT RNFL thickness.
The enigma of headaches associated with electromagnetic hyperfrequencies: Hypotheses supporting non-psychogenic algogenic processes
Published in Electromagnetic Biology and Medicine, 2020
The second point is that the mechanisms suggested above can result in durable neuroglial changes such as long-term potentiation/depression or neosynaptogenesis after neuronal loss. Moreover, BBB changes can robustly modify neuroglial functioning and histology. Thus, in predisposed individuals, chronic exposure is likely to result in a progressive decrease of the threshold for HF-related headaches. In this regard, the most interesting implication is not the increase in an initial significant sensitivity to HF fields, but a delayed sensitivity after an initial apparent indifference. However, the lack of research evidence for such outcome underlies the needs of further studies targeting EHS with more inclusive methodologies. There are probably several cases of ‘tension’ headaches that are actually HF-related.