Tension type headache (TTH): clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Tension type headache (TTH): clinical features. Stress, Irregular meals, Coffee, Caffeinated drinks, Dehydration. Fully referenced neurology checklist.

Triggers

  • Stress
  • Irregular meals
  • Coffee
  • Caffeinated drinks
  • Dehydration
  • Sleep disorders
  • Too much or too little sleep
  • Low physical exercise
  • Pelvic inflammatory disease (PID)

Clinical features

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Differential diagnosis

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References

  1. Bendtsen L. Drug and nondrug treatment in tension-type headache. Ther Adv Neurol Disord 2009; 2:155-161.
  2. Lai J, Liu MN, Chen TJ, Tsai SJ, Chen MH. Subsequent migraine and tension headache after pelvic inflammatory disease: a longitudinal follow-up study of 381,122 women. Eur Neurol 2026 (Online ahead of print).
  3. Crystal SC, Robbins MS. Tension-type headache mimics. Curr Pain Headache Rep 2011; 15:459-466.
  4. Loder E, Rizzoli P. Tension-type headache. BMJ 2008; 336:88-92.
  5. Fumal A, Schoenen. Tension-type headache: current research and clinical management. Lancet Neurol 2008; 7:70-83.

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