neurologic disorders
Tension Type Headache
Diagnosis of Tension Type Headache
Clinical evaluation Diagnosis of tension-type headache is based on characteristic symptoms and a normal physical examination, which includes a Introduction to the Neurologic Examination . Potential triggers for chronic tension-type headache should be identified and treated. Tension-type headache should be distinguished from a Symptoms and Signs , which many patients with migraine have; these headaches have only some features of migraine and resemble tension-type headache, but they are mild and respond to migraine-specific medications. If severe headaches are thought to be tension-type headaches, the diagnosis should be reconsidered because severe tension-type headaches are often migraines. Reconsider the diagnosis of tension-type headache if headache is severe, particularly in a patient who has concomitant migraine or a history of prior migraine headaches. 