Since the first descriptions of the type of chronic daily headache, probable origin of idi... more and also
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Since the first descriptions of the type of chronic daily headache, probable origin of idiopathic or caused by cervical muscle contracture terminology of this type of headache has received different names that include among others: headache ordinary stress, psychogenic, and finally psicomiogénica Tension headache designated by the Committee on Classification of Headache of the International Headache Society (1988) 1. However this term also is a source of controversy because it feels it can lend itself to misunderstanding because it is not clear if this condition is caused by primary physical cause muscle tension because of a neuromuscular disorder or primary cause is psychological that under a state Anxiety leads to an excess of muscle contraction or a depressive state is responsible for this hipercontractilidad muscular level cervical2. The comments of CYRIAX (1938) 3 after injection of saline solution to 4% in the muscles of the neck showed that there was a headache with Vertex and location in the same conclusions arrived Kellgren (1938) 4 injecting hypertonic saline. Tunis and Wolff5 investigated in patients with migraine band with electromyography, concluding that muscle contraction and prolonged vasoconstriction were required to produce headache for muscle contraction. These findings were refuted by Electromyographic Pickoff6 with the false notion that tension headache and muscle contraction headache were the same for a concept that persists to this day.
Cost at 19,347 emphasized the importance of the temporomandibular joint as a cause of headache. Brain8 described separated and the headache caused by muscle contraction upper cervical and temporomandibular joint and headache associated with anxiety and depression.
Finally the International Classification of Cefalea9 is useful for differentiating the tension type headache in two types: Type 1, those with muscular disorder and Type 2 pericranial those without such disorder. These two variants can be recognized easily in most cases (Blau 1989) 10, the diagnosis problem arises when both types are presented concurrently.
The careful questioning reveals that patient's fatigue easily, difficulty in attention and concentration and memory disorders hence, the vast majority of sleep disorders presents some have trouble sleeping, those who succeed often complain of fatigue at present the day. Other symptoms include: anorexia, nausea, vomiting when some have had an overdose of painkillers. Difficulty to enjoy the simple things in life, they become irritable, with mood swings, their closest relatives relate changes in behavior and personality.
When they were interrogated about fear often organic brain disease, that there is always concern and besides they have an insecurity because of financial problems, social or academic, which indicate the cause of the anxiety that accompanies them, many think they are depressed and often can mourn in the consultation. Likewise, the fear of Alzheimer's disease type is common in patients with memory loss. Type 2 patients, they often request a complete neurological examination including CT or MRI of the skull, electroencephalogram and all sorts of consideration that could define the diagnosis of a serious disease of neurological type, often these tests are negative, but give him confidence the patient and may be useful to reaffirm that it is not so serious.
Tension headache - MayoClinic.com
Tension headache Comprehensive overview covers symptoms, causes, treatment and ... Fortunately, effective treatments for tension headaches are available. ...
Tension Headaches -- familydoctor.org
Information about tension headaches from the American Academy ... How are tension headaches treated? What else can I do to ease the pain of a tension headache? ...
Tension headache - Wikipedia, the free encyclopedia
Tension headache. From Wikipedia, the free encyclopedia (Redirected from Tension headaches) ... The exact cause of tension-type headaches is still unknown. ...
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