Primary headache: Part II. Tension type headache and cluster headache

Abstract

Tension type headache is the most frequent type of headache. The pathophysiology is shortly mentioned including the peripheral and central mechanisms.

The basis of peripheral mechanisms can be the dysfunction in myofascial trigger points, the basis of central mechanisms is probably the central sensitization. The treatment of acute attacks and prophylactic treatment in frequent episodic and chronic forms are described.

Cluster headache (CH) is a primary headache from the TACs group. The clinical manifestation and the existing knowledge about the acute, bridging and prophylactic treatment are described.

Keywords

• tension type headache
• myofascial trigger points
• central sensitization
• cluster headache
• Trigeminal autonomic cephalalgias (TACs)
• acute
• bridging and prophylactic treatment of CH