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Tension-type headache and migraine: Two points on a continuum?

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Abstract

The question of whether tension-type headache (TTH) and migraine represent two points on a continuum has been debated for decades. Skeptics of the continuum model support their view by noting that the characteristics of these two headaches and the demographics of the individuals who suffer from them are undeniably distinct. In the clinical setting, however, these disorders exhibit more similarities than differences. TTH and migraine may exhibit similar associated features (even within the constraints of diagnostic criteria), respond effectively to similar medications, share similar demographics among certain age groups, and may each have genetic influences. These findings suggest that TTH and migraine may be more intimately related than would be suggested by their diagnostic criteria.

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References and Recommended Reading

  1. Cady R, Schreiber C, Farmer K, Sheftell F: Primary headaches: a convergence hypothesis. Headache 2002, 42:204–216.

    Article  PubMed  Google Scholar 

  2. Rasmussen BK: Migraine and tension-type headache are separate disorders. Cephalalgia 1996, 16:217–219.

    Article  PubMed  CAS  Google Scholar 

  3. Silberstein SD: Historical aspects of headache. In Atlas of Migraine and Other Headaches, edn 2. Edited by Silberstein SD, Stiles MA, Young WB. London and New York: Taylor & Francis; 2005:15–16.

    Google Scholar 

  4. Couch JR, Ziegler DK, Hassanein RS: Evaluation of the relationship between migraine headache and depression. Headache 1975, 15:41–50.

    Article  PubMed  CAS  Google Scholar 

  5. Featherstone HJ: Migraine and muscle contraction headaches: a continuum. Headache 1985, 25:194–198.

    Article  PubMed  CAS  Google Scholar 

  6. Headache Classification Subcommittee: The International Classification of Headache Disorders. Cephalalgia 2004, 24(Suppl 1):9–160.

    Google Scholar 

  7. Olesen J: The International Classification of Headache Disorders. Headache 2008, 48:691–693.

    Article  PubMed  Google Scholar 

  8. Goadsby PJ: Advances in the understanding of headache. Br Med Bull 2005, 73–74:83–92.

    Article  PubMed  Google Scholar 

  9. Rose G, Barker DJP: What is a case? Dichotomy or continuum? BMJ 1978, 2:873–874.

    Article  PubMed  CAS  Google Scholar 

  10. Lipton RB, Bigal ME, Diamond M, et al.: Migraine prevalence, disease burden, and the need for preventative therapy. Neurology 2007, 68:343–349.

    Article  PubMed  CAS  Google Scholar 

  11. Wöber C, Holzhammer J, Zeitlhofer J, et al.: Trigger factors of migraine and tension-type headache: experience and knowledge of the patients. J Headache Pain 2006, 7:188–195.

    Article  PubMed  Google Scholar 

  12. Schmidt-Wilcke T, Gänssbauer S, Neuner T, et al.: Subtle grey matter changes between migraine patients and healthy controls. Cephalalgia 2007, 28:1–4.

    PubMed  Google Scholar 

  13. Schmidt-Wilcke T, Leinisch E, Straube A, et al.: Gray matter decrease in patients with chronic tension type headache. Neurology 2005, 65:1483–1486.

    Article  PubMed  CAS  Google Scholar 

  14. Goadsby PJ: Recent advances in the diagnosis and management of migraine. BMJ 2006, 332:25–29.

    Article  PubMed  Google Scholar 

  15. Brennum J, Brinck T, Scriver L, et al.: Sumatriptan has no clinically relevant effect in the treatment of episodic tension-type headache. Eur J Neurol 1996, 3:23–28.

    Google Scholar 

  16. Turkdogan D, Cagirici S, Soylemez D, et al.: Characteristic and overlapping features of migraine and tension-type headache. Headache 2006, 46:461–468.

    Article  PubMed  Google Scholar 

  17. Roh JK, Kim JS, Ahn YO: Epidemiologic and clinical characteristics of migraine and tension-type headache in Korea. Headache 1998, 38:356–365.

    Article  PubMed  CAS  Google Scholar 

  18. D’Amico D, Leone M, Bussone G: Side-locked unilaterality and pain localization in long-lasting headaches: migraine, tension-type headache, and cervicogenic headache. Headache 1994, 34:526–530.

    Article  PubMed  CAS  Google Scholar 

  19. Selby G, Lance JW: Observations on 500 cases of migraine and allied vascular headache. J Neurol Neurosurg Psychiatr 1960, 23:23–32.

    Article  PubMed  CAS  Google Scholar 

  20. Critchley M, Ferguson FR: Migraine. Lancet 1933, 221:123–126.

    Article  Google Scholar 

  21. Ophoff RA, Terwindt GM, Vergouwe MN, et al.: Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2+ channel gene CACNL1A4. Cell 1996, 87:543–552.

    Article  PubMed  CAS  Google Scholar 

  22. De Fusco M, Marconi R, Silvestri L, et al.: Haploinsufficiency of ATP1A2 encoding the Na+/K+ pump alpha2 subunit associated with familial hemiplegic migraine type 2. Nat Genet 2003, 33:192–196.

    Article  PubMed  CAS  Google Scholar 

  23. Dichgans M, Freilinger T, Eckstein G, et al.: Mutation in the neuronal voltage-gated sodium channel SCN1A in familial hemiplegic migraine. Lancet 2005, 366:371–377.

    Article  PubMed  CAS  Google Scholar 

  24. Russel MB, Šaltyte-Benth J, Levi N: Are infrequent episodic, frequent episodic, and chronic tension-type headache inherited? A population based study of 11,199 twin pairs. J Headache Pain 2006, 7:119–126.

    Article  Google Scholar 

  25. Lipton RB, Stewart WF, Cady R, et al.: Sumatriptan for the range of headaches in migraine sufferers: results of the spectrum study. Headache 2000, 40:783–791.

    Article  PubMed  CAS  Google Scholar 

  26. Miner JR, Smith SW, Moore J, et al.: Sumatriptan for the treatment of undifferentiated primary headaches in the ED. Am J Emerg Med 2007, 25:60–64.

    Article  PubMed  Google Scholar 

  27. Rasmussen BK, Jensen R, Schroll M, Olesen J: Epidemiology of headache in a general population: a prevalence study. J Clin Epidemiol 1991, 44:1147–1157.

    Article  PubMed  CAS  Google Scholar 

  28. Rasmussen BK, Jensen R, Schroll M, Olesen J: Interrelations between migraine and tension-type headache in the general population. Arch Neurol 1992, 49:914–918.

    PubMed  CAS  Google Scholar 

  29. Klein P, Schomer DL: Effect of ovarian hormones on the nervous system. In Neurologic Diseases in Women, edn 2. Edited by Kaplan PW. New York: Demos Medical Publishing Inc; 2006:85–86.

    Google Scholar 

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  1. Center for Neurosciences, 2450 East River Road, Tucson, AZ, 85718, USA

    Bert B. Vargas

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  1. Bert B. Vargas
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Correspondence to Bert B. Vargas.

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Vargas, B.B. Tension-type headache and migraine: Two points on a continuum?. Current Science Inc 12, 433–436 (2008). https://doi.org/10.1007/s11916-008-0073-7

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  • DOI: https://doi.org/10.1007/s11916-008-0073-7

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