Infrequent Episodic Tension-type Headache

Infrequent Episodic Tension-type Headache

Article
Brain & Nerve
Behavioral & Mental Health
+2
Contributed byKrish Tangella MD, MBAAug 09, 2021

What are the other Names for this Condition? (Also known as/Synonyms)

  • Infrequent Episodic TTH

What is Infrequent Episodic Tension-type Headache? (Definition/Background Information)

  • Infrequent Episodic Tension-type Headache is a form of tension-type headache (TTH). TTH is a frequently observed condition affecting a wide age range of individuals and having a high prevalence rate among the common population
  • Tension-type headache is head pain that occurs from stress or tension leading to a feeling of tightness around the neck and head region. It is one of the most common types of headache and women are more prone to the condition
  • In Infrequent Episodic Tension-type Headache, the mild-to-moderate intensity headaches last from half an hour to up to a week, affect both sides of the head, occur infrequently, and the affected individual may have increased sensitivity to light or sound
  • Per ICHD classification, the subtypes of Infrequent Episodic TTH include:
    • Infrequent Episodic Tension-Type Headache associated with Pericranial Tenderness
    • Infrequent Episodic Tension-Type Headache not associated with Pericranial Tenderness
  • The condition is not associated with nausea or vomiting. Also, normal physical activity, such as walking, does not worsen Infrequent Episodic Tension-type Headaches

The criteria for diagnosis of Infrequent Episodic Tension-type Headache as outlined by the International Headache Society (IHS) is given below:

  • At least 10 episodes of headache occurring on less than 1 day/month on average (less than 12 days/year) and fulfilling the criteria below
  • Lasting from 30 minutes to 7 days
  • At least two of the following four characteristics:
    • Bilateral location
    • Pressing or tightening (non-pulsating) quality
    • Mild or moderate intensity
    • Not aggravated by routine physical activity such as walking or climbing stairs
  • Both of the following:
    • No nausea or vomiting
    • No more than one of photophobia or phonophobia
  • Not better accounted for by another ICHD-3 diagnosis

(Source: International Headache Society Classification ICHD-3, London, United Kingdom)

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Krish Tangella MD, MBA

Pathology, Medical Editorial Board, DoveMed Team

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