Current Pain and Headache Reports

, Volume 15, Issue 6, pp 438–443 | Cite as

Tension-type Headache and Systemic Medical Disorders

  • Simona SaccoEmail author
  • Silvia Ricci
  • Antonio Carolei
Tension-type Headache (Katherine A. Henry, Section Editor)


Tension-type headache (TTH) is the most common form of headache in the general population. Diagnosis of TTH is based merely on clinical features and on careful exclusion of all possible causes of headache. Most of the headaches that present in the context of medical disorders (e.g., hypothyroidism, sleep disorders, and hypertensive crisis) have clinical features overlapping with those of TTH; medical history and specific features of the systemic disorder are usually the clues to establish a correct diagnosis. Some medical disorders may worsen a preexisting TTH, and is also possible the comorbidity of TTH with psychiatric disorders and fibromyalgia.


Tension-type headache Secondary headache Psychiatric disorder Anxiety Depression Arterial hypertension Hypothyroidism Fibromyalgia Depression Headache classification Systemic viral infection HIV AIDS 



No potential conflicts of interest relevant to this article were reported.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of L’AquilaL’AquilaItaly

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