Epidemiology of Tension-type Headache

Crystal, Sara C.; Robbins, Matthew S.

doi:10.1007/s11916-010-0146-2

Cited by 92 publications

(68 citation statements)

References 49 publications

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“…Headaches are common in all age groups. 12,28,56 Since pineal cysts are also common, a substantial number of patients will present for medical attention with headaches and a pineal cyst that is coincidentally rather than causally associated. In a surgical series of 11 patients with pineal cysts, Fetell et al 19 found that patients with headaches can be expected to have postoperative symptomatic relief only if the headaches were caused by hydrocephalus.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and natural history of pineal cysts in adults

Al-Holou¹,

Terman²,

Kilburg³

et al. 2011

JNS

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Object We reviewed our experience with pineal cysts to define the natural history and clinical relevance of this common intracranial finding. Methods The study population consisted of 48,417 consecutive patients who underwent brain MR imaging at a single institution over a 12-year interval and who were over 18 years of age at the time of imaging. Patient characteristics, including demographic data and other intracranial diagnoses, were collected from cases involving patients with a pineal cyst. We then identified all patients with pineal cysts who had been clinically evaluated at our institution and who had at least 6 months of clinical and imaging follow-up. All inclusion criteria for the natural history analysis were met in 151 patients. Results Pineal cysts measuring 5 mm or larger in greatest dimension were found in 478 patients (1.0%). Of these, 162 patients were male and 316 were female. On follow-up MR imaging of 151 patients with pineal cyst at a mean interval of 3.4 years from the initial study, 124 pineal cysts remained stable, 4 increased in size, and 23 decreased in size. Cysts that were larger at the time of initial diagnosis were more likely to decrease in size over the follow-up interval (p = 0.004). Patient sex, patient age at diagnosis, and the presence of septations within the cyst were not significantly associated with cyst change on follow-up. Conclusions Follow-up imaging and neurosurgical evaluation are not mandatory for adults with asymptomatic pineal cysts.

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Section: Discussionmentioning

confidence: 99%

Prevalence and natural history of pineal cysts in adults

Al-Holou¹,

Terman²,

Kilburg³

et al. 2011

JNS

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“…In a face-to-face study in which the entire population of a city in Brazil was investigated, oneyear prevalence of headache was 65.4% 3 , and distribution of headache types were in alignment with other studies from Brazil 4,5 . Headaches are a frequent cause of consultation in the specialty care 6,2 .…”

mentioning

confidence: 99%

Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache

Júnior¹,

Brandão

Faleiros

et al. 2014

Arq. Neuro-Psiquiatr.

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Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging. Objectives : To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center. Method : Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD. Results : Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001). Conclusion : TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.

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“…While the biological mechanisms that predict progression from episodic TTH to chronic TTH have yet to be clarified, the epidemiologic literature has identified both depression and anxiety, and medication overuse, as primary factors that increase the risk of headache progression [1]. Taken together, the research discussed above suggests that more precise classification of TTH may require a more refined analysis of known precipitants and determinants.…”

Section: Journal Of Headache and Pain Managementmentioning

confidence: 99%

“…Tension-type headache (TTH) is the most prevalent form of headache in all age groups across the globe [1][2][3]. TTH leads to considerable disability [4, 5] with up to 60% of individuals reporting decreased work effectiveness [6], increased absenteeism [7], and reduced social engagement [6].…”

Section: Introductionmentioning

confidence: 99%

Tension-Type Headache: A Life-Course Review

Waldie

Buckley²,

Bull³

et al. 2015

Journal of Headache &Amp; Pain Management

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Background: Tension-type headache is the most prevalent primary headache type worldwide and is associated with a wide spectrum of disability. Although progress has been made in understanding the complex mechanisms that lead to the pathogenesis of tension-type headache, to date there are no clear-cut markers of what makes tension-type headache unique. Due to a relative lack of research (compared to migraine), the pathophysiology of tension-type headache is not well understood and there are gaps in the epidemiological data, particularly from Australasia.

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Epidemiology of Tension-type Headache

Cited by 92 publications

References 49 publications

Prevalence and natural history of pineal cysts in adults

Prevalence and natural history of pineal cysts in adults

Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache

Tension-Type Headache: A Life-Course Review

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