Neuro chapter 11 Tension Headaches

Question 1

Description

Answer 1

May be classified as primary or secondary.

Question 2

Primary headaches include:

Answer 2

• migraine
• tension headache
• trigeminal autonomic cephalgias (cluster headache)
• other primary headache disorder (cough headache, exercise headache, cold-stimulus headache)

Question 3

60% have onset after age ____

Answer 3

20 years; rare onset after age 50

Question 4

15% of pediatric patients have onset before age______

Answer 4

10 years

Question 5

No documents relationship between tension headaches and ____________

Answer 5

pregnancy.

Question 6

Gender

Answer 6

affects women more often than men, 3:2

Question 7

Risk Factors

Answer 7

• emotional stress
• anxiety, depression
• change in sleep pattern
• certain medications (nitrates, antihypertensives, SSRIs)
• Overexertion
• poor posture
• jaw clenching/teeth grinding
• hormonal changes
• consumption of high-nitrite foods
• excessive caffeine/alcohol intake

Question 8

Etiology

Answer 8

• not known
• musuclar and psychogenic factors are associated
• peripheral pain mechanisms likely to play role in episodic tension headaches
• central pain mechanisms play important role in chronic tension headaches.

Question 9

Assessment Findings

Answer 9

• gradual onset
• bilateral in 90% of cases
• dull, vice-like, throbbing pressure around head
• may be frontal-occipital location
• pericranial tenderness
• may be intermittent or may be present all day, ranging in intensity from mild to severe
• palpable muscle tightness, soreness or stiffness in neck, upper shoulders, or scalp
• no prodrome