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Symptoms and Signs – Differential diagnosis of Tension Type Headache
• Cervical spine disease
• Idiopathic intracranial hypertension (found more often in obese women of childbearing age; may have papilledema, visual loss, or diplopia)
• Intracranial mass (may present with focal neurologic signs, seizures, or headache awakening patient from sleep)
• Migraine
• Migraine and tension-type headache may often coexist and may be difficult to differentiate (suggest headache calendar).
• Rebound headache from overuse of analgesics
• Secondary headache (e.g., temporomandibular joint syndrome, thyrotoxicosis, polycythemia, drug side effects)
• Cervical spine disease
• Idiopathic intracranial hypertension (found more often in obese women of childbearing age; may have papilledema, visual loss, or diplopia)
• Intracranial mass (may present with focal neurologic signs, seizures, or headache awakening patient from sleep)
• Migraine
• Migraine and tension-type headache may often coexist and may be difficult to differentiate (suggest headache calendar).
• Rebound headache from overuse of analgesics
• Secondary headache (e.g., temporomandibular joint syndrome, thyrotoxicosis, polycythemia, drug side effects)
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