Tension-Type Headache

被引:45
作者
Bendtsen, Lars [1 ]
Jensen, Rigmor [1 ]
机构
[1] Univ Copenhagen, Dept Neurol, Danish Headache Ctr, Glostrup Hosp, DK-2600 Glostrup, Denmark
关键词
Tension-type headache; Diagnosis; Disability; Mechanisms; Treatment; MYOFASCIAL TRIGGER POINTS; IN-VIVO EVIDENCE; PROPHYLACTIC TREATMENT; POSSIBLE MECHANISMS; EXPERIMENTAL-MODEL; MUSCLE TENDERNESS; PAIN SENSITIVITY; 12-YEAR PERIOD; MIGRAINE; SENSITIZATION;
D O I
10.1016/j.ncl.2008.11.010
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
The substantial societal and individual burdens associated with tension-type headache (TTH) constitute a previously overlooked major public health issue. TTH is prevalent, affecting up to 78% of the general population, and 3% suffer from chronic TTH. Pericranial myofascial nociception probably is important for the pathophysiology of episodic TTH, whereas sensitization of central nociceptive pathways seems responsible for the conversion of episodic to chronic TTH. Headache-related disability usually can be reduced by identification of trigger factors combined with nonpharmacologic and pharmacologic treatments, but effective treatment modalities are lacking. Benefits can be gained by development of specific and effective treatment strategies.
引用
收藏
页码:525 / +
页数:12
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