Department of Neurology, University of L'Aquila, Italy.
Curr Pain Headache Rep. 2011 Dec;15(6):438-43. doi: 10.1007/s11916-011-0222-2.
Tension-type headache (TTH) is the most common form of headache in the general population. Diagnosis of TTH is based merely on clinical features and on careful exclusion of all possible causes of headache. Most of the headaches that present in the context of medical disorders (e.g., hypothyroidism, sleep disorders, and hypertensive crisis) have clinical features overlapping with those of TTH; medical history and specific features of the systemic disorder are usually the clues to establish a correct diagnosis. Some medical disorders may worsen a preexisting TTH, and is also possible the comorbidity of TTH with psychiatric disorders and fibromyalgia.
紧张型头痛（TTH）是普通人群中最常见的头痛类型。TTH 的诊断仅基于临床特征，并仔细排除所有可能的头痛原因。在大多数与医学疾病相关的头痛中（例如，甲状腺功能减退、睡眠障碍和高血压危象），其临床特征与 TTH 重叠；病史和系统性疾病的具体特征通常是建立正确诊断的线索。一些医学疾病可能会使原有的 TTH 恶化，TTH 也可能与精神障碍和纤维肌痛共病。
