Peres Mario F P, Gonçalves Andre Leite, Krymchantowski Abouch
Al Joaquim Eugenio de Lima, 881 cj 708, 01403-001, São Paulo, SP, Brazil.
Curr Pain Headache Rep. 2007 Dec;11(6):449-53. doi: 10.1007/s11916-007-0232-2.
Migraine and tension-type headache (TTH) are highly prevalent primary headaches that remain underdiagnosed and undertreated in clinical practice. The similarities and differences between migraine and TTH may impose diagnostic challenges as well as management difficulties. In addition, the possibility of migraine chronification or transformation in daily or near-daily headache raises the potential level of interaction between pathophysiologic mechanisms of TTH and migraine. The continuum concept is a possible key to the understanding of this association. Future studies are necessary to clarify epidemiology, pathophysiology, and management of these two most prevalent headaches.
偏头痛和紧张型头痛（TTH）是高度常见的原发性头痛，在临床实践中仍未得到充分诊断和治疗。偏头痛和TTH之间的异同可能会带来诊断挑战以及管理困难。此外，偏头痛在日常或近乎每日发作的头痛中发生慢性化或转变的可能性增加了TTH和偏头痛病理生理机制之间潜在的相互作用水平。连续体概念可能是理解这种关联的关键。有必要开展进一步研究以阐明这两种最常见头痛的流行病学、病理生理学和管理方法。
