Update of Chronic Tension-Type Headache

  • Shengyuan YuEmail author
  • Xun Han
Chronic Daily Headache (SJ Wang, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Chronic Daily Headache


Tension-type headache (TTH) is the most common type of primary headaches, and its chronic form, chronic tension-type headache (CTTH), is affecting 0.5 to 4.8 % of the worldwide population. Although the mechanism underlying CTTH remains unclear, the role of central versus peripheral mechanisms has always been discussed while explaining the pathogenesis of CTTH. There is always a debate on differential diagnosis between CTTH and chronic migraine without aura which are regarded as different aspects of chronic daily headache spectrum because of many similarities and fuzzy boundaries. Compared with pharmacological treatments, non-pharmacological treatments have been popular as alternative interventions for CTTH in recent years. This review summaries the update knowledge on CTTH and discusses the most interested questions regarding pathogenesis and therapeutic strategies of CTTH.


Chronic tension-type headache Chronic daily headache ICHD Epidemiology Pathophysiology Diagnostics 


Compliance with Ethics Guidelines

Conflict of Interest

Dr. Shengyuan Yu and Dr. Xun Han each declare no potential conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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

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© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of NeurologyChinese PLA General HospitalBeijingChina
  2. 2.Medical CenterTsinghua UniversityBeijingChina

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