ICHD-II Diagnostic Criteria for Tension-type headache (TTH)

A. At least 10 episodes occurring on <1 day/month on average (<12 days/year) and fulfilling criteria B-D

B. Headache lasting from 30 minutes to 7 days

C. Headache has at least 2 of the following characteristics:

  1. Bilateral location
  2. Pressing/tightening (non-pulsating) quality
  3. Mild or moderate intensity
  4. Not aggravated by routine physical activity such as walking or climbing stairs

D. Both of the following:

  1. No nausea or vomiting (anorexia may occur)
  2. No more than one of photophobia or phonophobia

E. Not attributed to another disorder

Frequent episodic tension-type headache

As “Infrequent episodic tension-type headache” except:

A. At least 10 episodes occurring on >/=1 but <15 days/month for ?3 months (>/=12 and <180 days/year) and fulfilling criteria B-D

Chronic tension-type headache

As “Infrequent episodic tension-type headache” except:

A. Headache occurring on >/=15 days/month on average for >3 months (>/=180 days/year) and fulfilling criteria B-D

B. Headache lasts hours or may be continuous

D. Both of the following:

  1. No more than one of photophobia, phonophobia or mild nausea
  2. Neither moderate or severe nausea nor vomiting
 
 

References:

  1. International Headache Society. The International Classification of Headache Disorders, 2nd Edition. Cephalalgia 2004; 24 (suppl 1): 1-160 (www.i-h-s.org)

This material was taken from the International Classification of Headache Disorders. It is intended for educational purposes only.

Created: June 13, 2005

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