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Tension Headache
Diagnostic criteria by IHS
Sporadischer Spannungskopfschmerz:
A: At least 10 episodes occurring on <1 day per month on average (<12 days per year) and fulfilling criteria B-D
B: Headache lasting from 30 minutes to 7 days
C: Headache has at least two of the following characteristics:
- bilateral location
- pressing/tightening (non-pulsating) quality
- mild or moderate intensity
- not aggravated by routine physical activity such as walking or climbing stairs
D: Both of the following:
- no nausea or vomiting (anorexia may occur)
- no more than one of photophobia or phonophobiaeide folgenden Punkte
E: Not attributed to another disorder
Chronic tension headache
A: Headache occurring on ≥15 days per month on average for >3 months (≥180 days per year) and fulfilling criteria B-D
B: Headache lasts hours or may be continuous
C: Headache has at least two of the following characteristics:
- bilateral location
- pressing/tightening (non-pulsating) quality
- mild or moderate intensity
- not aggravated by routine physical activity such as walking or climbing stairs
D: Both of the following:
- no more than one of photophobia, phonophobia or mild nausea
- neither moderate or severe nausea nor vomiting
E: Not attributed to another disorder
Diagnostik
Anamnesis (duration, used drugs, social anamnesis)
Examination (clinical report of the cranial nerves, cervical spine, teeth- condition, blood pressure)
Characterization of headache (throbbing, electrical, sharp)
Localisation (occipital, bilateral, unilateral, frontal)
Temporary appearance (how often?, how long lasting?)
Trigger (menstruation, wine, cheese, sleep, sport, sex)
Headache questionary by Essen
Calender for headache
Excluding of other diagnosis (blood pressure, MRT of the head, blood sample)