Tension-type headache as most frequent and often erroneous diagnosis

Abstract

Tension-type headache (ТТН) is the most frequent and at the same time the most difficult to diagnose type of primary headache. The clinical features of TTH are nonspecific, and a similar phenotype can be observed in migraines with a relatively mild course, psychogenic headache, and secondary headaches. Often associated with a misdiagnosis is treatment failure. Three generally accepted approaches to therapy are presented in the article: behavioral therapy, acute treatment that have a high level of evidence on the basis of randomized controlled trials, as well as preventive therapy. The place of ketoprofen was determined, including various dosage forms of the drug – injectable, oral (tablets, powders, capsules), which allows it to be used to quickly and effectively relieve acute attacks of TTH.