Abstract
Background: Research into the role of neuroimaging in primary headaches such as tension type headache (TTH) is ongoing. In the present study, we aim to evaluate the ability of neuroimaging to detect potential abnormalities in patients with new onset TTH and normal neurological exam. Materials and Methods: In a prospective study, 294 cases of new onset TTH with normal neurological exam, that had neuroimaging, were selected. Imaging was evaluated for significant abnormalities. The percentage of abnormal findings in imaging was calculated. Results: 64(21.8%) patients had MRI. Of them, 21.8% of MRIs revealed abnormal findings. Meanwhile, from 238 CTs, only 0.4% showed abnormalities. Conclusion: Neuroimaging with current quality does not play an important role in management of patients with new onset TTH and normal neurological exam. [GMJ.2015;4(2):62-66]
Highlights
Tension type headache (TTH) is the most common prototype of headache in general population with mild female predominance [1,2,3,4]
In 2004, international headache society stated its last definition for tension type headache (TTH) in framework of “International Classification of Headache Disorders 2” (ICHD2) [1,3, 8]
294 patients were entered into this study with diagnosis of new onset TTH, referred to Imam Reza clinic from 1388 to 1393 including eighty one men (27.6%) and 213 women (76.4%)
Summary
Tension type headache (TTH) is the most common prototype of headache in general population with mild female predominance [1,2,3,4]. The disability caused by TTH can be a major public health problem worldwide impacting patients and their families and the whole society. Research into the role of neuroimaging in primary headaches such as tension type headache (TTH) is ongoing. The percentage of abnormal findings in imaging was calculated. From 238 CTs, only 0.4% showed abnormalities.Conclusion: Neuroimaging with current quality does not play an important role in management of patients with new onset TTH and normal neurological exam. From 238 CTs, only 0.4% showed abnormalities.Conclusion: Neuroimaging with current quality does not play an important role in management of patients with new onset TTH and normal neurological exam. [GMJ.2015;4(2):62-66]
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