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)