Tension-type headache
Tension-type headache is a nonspecific headache, which is not vascular or migrainous, and is not related to organic disease. Episodic tension-type headache occurs randomly and is usually triggered by temporary stress, anxiety, fatigue or anger. Chronic tension-type headache is a daily or continuous headache, which may have some variability in the intensity of the pain during a 24-hour cycle. It is always present . Diagnosis is based on history and clinical examination. Neurological status is normal. Chronic TTH is treated with amitriptyline, flupenthixol, doxepin alone or combined with a muscle relaxant or tizanidine.
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