Chronic Tension-Type Headache

  • Necdet KarliEmail author
  • Mehmet Zarifoğlu
Part of the Headache book series (HEAD)


A 42-year-old woman was admitted to the emergency room (ER) for the worsening of a continuous headache. She reported of having very frequent headaches for the last couple of years. Last year she had had headaches every day. Headache severity was mild to moderate, bilateral, starting from back of her head, and spreading to the vertex and forehead. She said she took NSAIDs when the pain is moderate. The pain responds moderately to the NSAIDs. Her blood pressure (BP) was found to be 150/90 mmHg; otherwise, the physical examination was normal. She received a diagnosis of headache secondary to hypertension and was treated accordingly. Her BP returned to normal in an hour and then she was referred to the cardiology hypertension outpatient clinic. There, she was diagnosed with essential hypertension and was given an ACE inhibitor. Five months after the first evaluation, despite that her BP remained normal, her headaches did not improve and she went back to her cardiologist who then referred her to the neurology headache outpatient clinic.


Essential Hypertension Chronic Migraine Medication Overuse Frequent Headache Headache History 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. 1.
    Ailani J (2009) Chronic tension-type headache. Curr Pain Headache Rep 13(6):479–483PubMedCrossRefGoogle Scholar
  2. 2.
    Ashina M (2004) Neurobiology of chronic tension-type headache. Cephalalgia 24:161–172PubMedCrossRefGoogle Scholar
  3. 3.
    Bendtsen L, Jensen R (2011) Treating tension-type headache – an expert opinion. Expert Opin Pharmacother 12(7):1099–1109PubMedCrossRefGoogle Scholar
  4. 4.
    Bendtsen L et al (2010) EFNS guideline on the treatment of tension-type headache – report of an EFNS task force. Eur J Neurol 17(11):1318–1325PubMedGoogle Scholar
  5. 5.
    Fernández-de-las-Peñas C, Schoenen J (2009) Chronic tension-type headache: what is new? Curr Opin Neurol 22(3):254–261PubMedCrossRefGoogle Scholar
  6. 6.
    Garza I, Schwedt TJ (2010) Diagnosis and management of chronic daily headache. Semin Neurol 30(2):154–166PubMedCrossRefGoogle Scholar
  7. 7.
    Gipponi S et al (2010) Hypertension is a factor associated with chronic daily headache. Neurol Sci 31(Suppl 1):171–173CrossRefGoogle Scholar
  8. 8.
    Headache Classification Committee of the International Headache Society (IHS) (2013) The International Classification of Headache Disorders, 3rd edition (beta version).
  9. 9.
    Kruszewski P et al (2000) Headache in patients with mild to moderate hypertension is generally not associated with simultaneous blood pressure elevation. J Hypertens 18:437–444PubMedCrossRefGoogle Scholar
  10. 10.
    Monteith TS, Oshinsky ML (2009) Tension-type headache with medication overuse: pathophysiology and clinical implications. Curr Pain Headache Rep 13(6):463–469PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Sahler K (2012) Epidemiology and cultural differences in tension-type headache. Curr Pain Headache Rep 16(6):525–532PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of Uludağ, School of MedicineBursaTurkey

Personalised recommendations