Tension Headache

Question 1

Describe the key presentation associated with tension headaches:

Answer 1

mild ache or pressure in a band-like pattern around the head

Question 2

True or false: tension headaches cause visual disturbances

Answer 2

false

Question 3

Give 5 risk factors for tension headaches:

Answer 3

1) stress
2) alcohol consumption
3) depression
4) skipping meals
5) dehydration

Question 4

Give 8 headache red flag symptoms:

Answer 4

1) neck stiffness
2) fever
3) history of cancer (metastases)
4) visual disturbances
5) vomiting
6) thunderclap onset
7) worse on coughing or straining
8) trauma history

Question 5

Why is it useful to check the retinas when investigating headaches?

Answer 5

to check for papilloedema, a sign of raised intracranial pressure which may indicate a tumour

Question 6

What is the general management for tension headaches?

Answer 6

paracetamol and ibuprofen

Question 7

What drug is given first-line for chronic or frequent tension headaches?

Answer 7

amitriptyline (anti-depressant)