Neurologie up2date, Inhaltsverzeichnis Neurologie up2date 2021; 04(04): 371-387DOI: 10.1055/a-1163-6595 Kopfschmerz und andere Schmerzsyndrome Kopfschmerz vom Spannungstyp – Diagnostik und Therapie Lars Neeb 1 Klinik für Neurologie mit experimenteller Neurologie, Charité – Universitätsmedizin Berlin, Berlin, Deutschland , Inga Laumeier 1 Klinik für Neurologie mit experimenteller Neurologie, Charité – Universitätsmedizin Berlin, Berlin, Deutschland › InstitutsangabenArtikel empfehlen Abstract Artikel einzeln kaufen Alle Artikel dieser Rubrik Fast jeder Mensch leidet in seinem Leben unter einem „Kopfschmerz vom Spannungstyp“. Auch wenn dieser primäre Kopfschmerz bei niedriger Frequenz oft als nicht so belastend wie z.B. die Migräne empfunden wird, kann gerade die häufig auftretende episodische und die chronische Verlaufsform mit einem hohen Leidensdruck einhergehen. Dieser Beitrag zeigt, wie der Kopfschmerz vom Spannungstyp korrekt diagnostiziert und optimal behandelt werden kann. Volltext Referenzen Literatur 1 International Headache Society – IHS. The International Classification of Headache Disorders, 3rd edn. Cephalalgia 2018; 38: 1–211.. http://ichd-3.org/de/ 04.10.2021 2 Global Burden of Disease Headache Collaborators. Global, regional, and national burden of migraine and tension-type headache, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol 2018; 17: 954-976 3 Stovner LJ, Andree C. Prevalence of headache in Europe: a review for the Eurolight project. J Headache Pain 2010; 11: 289-299 4 Rasmussen BK, Jensen R, Schroll M. et al. Epidemiology of headache in a general population--a prevalence study. J Clin Epidemiol 1991; 44: 1147-1157 5 Schwartz BS, Stewart WF, Simon D. et al. Epidemiology of tension-type headache. JAMA 1998; 279: 381-383 6 Porst M, Wengler A, Leddin J. et al. Migraine and tension-type headache in Germany. Prevalence and disease severity from the BURDEN 2020 Burden of Disease Study. J Health Monitoring 2020; 5: 2-24 7 Stovner L, Hagen K, Jensen R. et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007; 27: 193-210 8 Olesen J. Clinical and pathophysiological observations in migraine and tension-type headache explained by integration of vascular, supraspinal and myofascial inputs. Pain 1991; 46: 125-132 9 Yoon MS, Manack A, Schramm S. et al. Chronic migraine and chronic tension-type headache are associated with concomitant low back pain: results of the German Headache Consortium study. Pain 2013; 154: 484-492 10 Fendrich K, Vennemann M, Pfaffenrath V. et al. Headache prevalence among adolescents--the German DMKG headache study. Cephalalgia 2007; 27: 347-354 11 Göbel H, Petersen-Braun M, Soyka D. The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the International Headache Society. Cephalalgia 1994; 14: 79-106 12 Jensen R. Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Thesis. Cephalalgia 1999; 19: 602-621 13 Lainez MJ, Monzon MJ. Chronic daily headache. Curr Neurol Neurosci Rep 2001; 1: 118-124 14 Muller B, Dresler T, Gaul C. et al. More Attacks and Analgesic Use in Old Age: Self-Reported Headache Across the Lifespan in a German Sample. Frontiers Neurol 2019; 10: 1000 15 Scher AI, Stewart WF, Ricci JA. et al. Factors associated with the onset and remission of chronic daily headache in a population-based study. Pain 2003; 106: 81-89 16 Rasmussen BK. Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle. Pain 1993; 53: 65-72 17 Lyngberg AC, Rasmussen BK, Jorgensen T. et al. Prognosis of migraine and tension-type headache: a population-based follow-up study. Neurology 2005; 65: 580-585 18 Ashina M, Bendtsen L, Jensen R. et al. Plasma levels of calcitonin gene-related peptide in chronic tension-type headache. Neurology 2000; 55: 1335-1340 19 Do TP, Heldarskard GF, Kolding LT. et al. Myofascial trigger points in migraine and tension-type headache. J Headache Pain 2018; 19: 84 20 Rossi P, Vollono C, Valeriani M. et al. The contribution of clinical neurophysiology to the comprehension of the tension-type headache mechanisms. Clin Neurophysiol 2011; 122: 1075-1085 21 Bendtsen L. Central sensitization in tension-type headache--possible pathophysiological mechanisms. Cephalalgia 2000; 20: 486-508 22 Fernandez-de-Las-Penas C, Plaza-Manzano G, Navarro-Santana MJ. et al. Evidence of localized and widespread pressure pain hypersensitivity in patients with tension-type headache: A systematic review and meta-analysis. Cephalalgia 2021; 41: 256-273 23 Fernandez-de-Las-Penas C, Cuadrado ML, Arendt-Nielsen L. et al. Increased pericranial tenderness, decreased pressure pain threshold, and headache clinical parameters in chronic tension-type headache patients. Clin J Pain 2007; 23: 346-352 24 Wang P, Du H, Chen N. et al. Regional homogeneity abnormalities in patients with tension-type headache: a resting-state fMRI study. Neurosci Bul 2014; 30: 949-955 25 Schmidt-Wilcke T, Leinisch E, Straube A. et al. Gray matter decrease in patients with chronic tension type headache. Neurology 2005; 65: 1483-1486 26 Langemark M, Bach FW, Jensen TS. et al. Decreased nociceptive flexion reflex threshold in chronic tension-type headache. Arch Neurol 1993; 50: 1061-1064 27 Russell MB, Ostergaard S, Bendtsen L. et al. Familial occurrence of chronic tension-type headache. Cephalalgia 1999; 19: 207-210 28 Russell MB, Saltyte-Benth J, Levi N. Are infrequent episodic, frequent episodic and chronic tension-type headache inherited? A population-based study of 11 199 twin pairs. J Headache Pain 2006; 7: 119-126 29 Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders ICHD-3, 3rd edn. Cephalalgia 2018; 38: 1-211 30 Lyngberg AC, Rasmussen BK, Jorgensen T. et al. Has the prevalence of migraine and tension-type headache changed over a 12-year period? A Danish population survey. Eur J Epidemiol 2005; 20: 243-249 31 Juang KD, Wang SJ, Fuh JL. et al. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache 2000; 40: 818-823 32 Breslau N, Schultz LR, Stewart WF. et al. Headache and major depression: is the association specific to migraine?. Neurology 2000; 54: 308-313 33 Ashina S, Lipton RB, Bendtsen L. et al. Increased pain sensitivity in migraine and tension-type headache coexistent with low back pain: A cross-sectional population study. Eur J Pain 2018; 22: 904-914 34 Ashina S, Bendtsen L, Lyngberg AC. et al. Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia 2015; 35: 211-219 35 Holroyd KA, O´Donnell FJ, Stensland M. et al. Management of chronic tension-type headache with tricyclic antidepressant medication, stress management therapy and their combination. JAMA 2001; 285: 2208-2215 36 Stephens G, Derry S, Moore RA. Paracetamol (acetaminophen) for acute treatment of episodic tension-type headache in adults. Cochrane Database Syst Rev 2016 CD011889 37 Derry S, Wiffen PJ, Moore RA. Aspirin for acute treatment of episodic tension-type headache in adults. Cochrane Database Syst Rev 2017; 1: CD011888 38 Derry S, Wiffen PJ, Moore RA. et al. Ibuprofen for acute treatment of episodic tension-type headache in adults. Cochrane Database Syst Rev 2015; CD011474 39 Veys L, Derry S, Moore RA. Ketoprofen for episodic tension-type headache in adults. Cochrane Database Syst Rev 2016; 9: CD012190 40 Prior MJ, Cooper KM, May LG. et al. Efficacy and safety of acetaminophen and naproxen in the treatment of tension-type headache. A randomized, double-blind, placebo-controlled trial. Cephalalgia 2002; 22: 740-748 41 Kubitzek F, Ziegler G, Gold MS. et al. Low-dose diclofenac potassium in the treatment of episodic tension-type headache. Eur J Pain 2003; 7: 155-162 42 Bendtsen L, Evers S, Linde M. et al. EFNS guideline on the treatment of tension-type headache - report of an EFNS task force. Eur J Neurol 2010; 17: 1318-1325 43 Verhagen AP, Damen L, Berger MY. et al. Is any one analgesic superior for episodic tension-type headache?. J Family Pract 2006; 55: 1064-1072 44 Diener HC, Gold M, Hagen M. Use of a fixed combination of acetylsalicylic acid, acetaminophen and caffeine compared with acetaminophen alone in episodic tension-type headache: meta-analysis of four randomized, double-blind, placebo-controlled, crossover studies. J Headache Pain 2014; 15: 76 45 Göbel H, Heinze A, Heinze-Kuhn K. et al. Oleum menthae piperitae (Pfefferminzöl) in der Akuttherapie des Kopfschmerzes vom Spannungstyp. Schmerz 2016; 30: 295-310 46 Diener HC, Antonaci F, Braschinsky M. et al. European Academy of Neurology guideline on the management of medication-overuse headache. Eur J Neurol 2020; 27: 1102-1116 47 Brennum J, Brinck T, Schriver L. et al. Sumatriptan has no clinically relevant effect in the treatment of episodic tension-type headache. Eur J Neurol 1996; 3: 23-28 48 Kropp P, Meyer B, Dresler T. et al. Entspannungsverfahren und verhaltenstherapeutische Interventionen zur Behandlung der Migräne. Leitlinie der Deutschen Migräne- und Kopfschmerzgesellschaft. Nervenheilkunde 2016; 35: 502-515 49 Verhagen AP, Damen L, Berger MY. et al. Behavioral treatments of chronic tension-type headache in adults: are they beneficial?. CNS Neurosci Ther 2009; 15: 183-205 50 Nestoriuc Y, Rief W, Martin A. Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Consult Clin Psychol 2008; 76: 379-396 51 Kroll LS, Hammarlund CS, Linde M. et al. The effects of aerobic exercise for persons with migraine and co-existing tension-type headache and neck pain. A randomized, controlled, clinical trial. Cephalalgia 2018; 38: 1805-1816 52 Christiansen S, Jurgens TP, Klinger R. Outpatient combined group and individual cognitive-behavioral treatment for patients with migraine and tension-type headache in a routine clinical setting. Headache 2015; 55: 1072-1091 53 Wang J, Huang Q, Li N. et al. Triggers of migraine and tension-type headache in China: a clinic-based survey. Eur J Neurol 2013; 20: 689-696 54 Pellegrino ABW, Davis-Martin RE, Houle TT. et al. Perceived triggers of primary headache disorders: A meta-analysis. Cephalalgia 2018; 38: 1188-1198 55 Lipton RB, Pavlovic JM, Haut SR. et al. Methodological issues in studying trigger factors and premonitory features of migraine. Headache 2014; 54: 1661-1669 56 Martin PR, Reece J, Callan M. et al. Behavioral management of the triggers of recurrent headache: a randomized controlled trial. Behav Res Ther 2014; 61: 1-11 57 Linde K, Allais G, Brinkhaus B. et al. Acupuncture for the prevention of tension-type headache. Cochrane Database Syst Rev 2016; 4: CD007587 58 Tornoe B, Andersen LL, Skotte JH. et al. Specific strength training compared with interdisciplinary counseling for girls with tension-type headache: a randomized controlled trial. J Pain Res 2016; 9: 257-270 59 Andersen CH, Jensen RH, Dalager T. et al. Effect of resistance training on headache symptoms in adults: Secondary analysis of a RCT. Musculoskelet Sci Pract 2017; 32: 38-43 60 Espi-Lopez GV, Zurriaga-Llorens R, Monzani L. et al. The effect of manipulation plus massage therapy versus massage therapy alone in people with tension-type headache. A randomized controlled clinical trial. Eur J Phys Rehabil Med 2016; 52: 606-617 61 Bronfort G, Nilsson N, Haas M. et al. Non-invasive physical treatments for chronic/recurrent headache. Cochrane Database Syst Rev 2004; CD001878 62 Gaul C, van Doorn C, Webering N. et al. Clinical outcome of a headache-specific multidisciplinary treatment program and adherence to treatment recommendations in a tertiary headache center: an observational study. J Headache Pain 2011; 12: 475-483 63 Wallasch TM, Kropp P. Multidisciplinary integrated headache care: a prospective 12-month follow-up observational study. J Headache Pain 2012; 13: 521-529 64 Couch JR. Amitriptyline in the prophylactic treatment of migraine and chronic daily headache. Headache 2011; 51: 33-51 65 Exposto FG, Bendixen KH, Ernberg M. et al. Characterization and predictive mechanisms of experimentally induced tension-type headache. Cephalalgia 2019; 39: 1207-1218 66 Bendtsen L, Jensen R. Mirtazapine is effective in the prophylactic treatment of chronic tension-type headache. Neurology 2004; 62: 1706-1711 67 Martín-Araguz A, Bustamante-Martínez C, de Pedro-Pijoán JM. Treatment of chronic tension type headache with mirtazapine and amitriptyline. Rev Neurol 2003; 37: 101-105 68 Zissis NP, Harmoussi S, Vlaikidis N. et al. A randomized, double-blind, placebo-controlled study of venlafaxine XR in out-patients with tension-type headache. Cephalalgia 2007; 27: 315-324 69 Fogelholm R, Murros K. Tizanidine in chronic tension-type headache: A placebo controlled double-blind cross-over study. Headache 1992; 32: 509-513 70 Murros K, Kataja M, Hedman C. et al. Modified-release formulation of tizanidine in chronic tension-type headache. Headache 2000; 40: 633-637 71 Lampl C, Marecek S, May A. et al. A prospective, open-label, long-term study of the efficacy and tolerability of topiramate in the prophylaxis of chronic tension-type headache. Cephalalgia 2006; 26: 1203-1208 72 Lenaerts M, Basting E, Sianard J. et al. Sodium valproate in severe migraine and tension-type headache: an open study of long-term effect and correlation with blood levels. Acta Neurol Belg 1996; 96: 126-129 73 Mitsikostas DD, Gatzonis S, Thomas A. et al. Buspirone vs amitriptyline in the treatment of chronic tension-type headache. Acta Neurol Scand 1997; 96: 247-251 74 Bendtsen L, Jensen R, Olesen J. A non-selective (amitriptyline), but no a selective (citalopram), serotonin reuptake inhibitor is effective in the prophylactic treatment of chronic tension-type headache. J Neurol Neurosurg Psychiat 1996; 61: 285-290 75 Singh NN, Misra S. Sertraline in chronic tension-type headache. J Assoc Physicians India 2002; 50: 873-878 76 Moja PL, Cusi C, Sterzi RR. et al. Selective serotonin re-uptake inhibitors (SSRIs) for preventing migraine and tension-type headaches. Cochrane Database Syst Rev 2005; CD002919 77 Jackson JL, Kuriyama A, Hayashino Y. Botulinum toxin A for prophylactic treatment of migraine and tension headaches in adults: a meta-analysis. JAMA 2012; 307: 1736-1745