tension type lokin ver

Question 1

epidemiology of tension type HA

Answer 1

most prevalent primary type

female 4th decade

Question 2

discuss pathophysio (myofascial mech)

Answer 2

inc tenderness and hardness of muscle

local inflamm and ischemia

Question 3

discuss pathophysio (vascular mech)

Answer 3

inc BF in cerebral arteries

abnormal carotid BF and extracranial vascular reponse

Question 4

discuss pathophysio (peripheral sensitization)

Answer 4

myofascial and vascular mech occur peripherally = tension type

Question 5

genes that bring tension type

Answer 5

5-HTTLPR polymorphism

Val158Met COMT polymorphism

APOE-E4 polymorphism

Question 6

discuss pathophysio (central mech)

Answer 6

central sensitization - dysfunction in descensing pain modulation

Question 7

clinical features

Answer 7

mild to mod

bilat

dull, band like, weight on head

pericranial tenderness

precipitated by:
- stress
- mental tension
- head and neck mvoements

Question 8

discuss criteria for episodic

Answer 8

30 mins to 7 days

at least 2
- bilat
- pressing or tight
- mid to mod
- not agg by activity

both of
- no nausea or vomiting
- phono or photo phobia

Question 9

discuss criteria for chronic

Answer 9

> 15 time per month for 3 months

hrs to days

at least 2
- bilat
- pressing or tight
- mid to mod
- not agg by activity

both of
- no nausea or vomiting
- phono or photo phobia