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KMID : 0911820070080010024
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Korean Journal of Headache
2007 Volume.8 No. 1 p.24 ~ p.27
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Management of Tension-type Headache, Cluster and other Rare Primary Headaches
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Kwon Sun-Uck
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Abstract
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The tension type headache is the most common headache disorder with wide variation in severity and frequency. Analgesics are comfortable and effective management for episodic tension type headache, but long term and frequent use of analgesics increases the risk of chronic daily headache and medication overuse headache. Psychological and physiotherapy may improve the outcome of severe episodic or chronic tension type headache. Behavioral modification, such as regular exercise and diet, also improve it. Psychological and emotional support and nonpharamacological mana- gement may save the dose and frequency of analgesics for the management of tension type headache. Trigeminal autonomic cephalalgia, including cluster headache, is a headache syndrome which is characterized by exclusive unilateral recurrent severe headache with autonomic dysfunction. The most important one is the exact diagnosis of this unique headache syndrome. Primary exertional headache and primary headache associated with sexual activity is not so rare headache syndrome. Proper diagnosis and exclusion of similar headache syndrome caused by serious problems, such as subarachnoid hemorrhage, is the most important in the management.
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KEYWORD
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Tension-type headache, Cluster headache, Primary exertional headache
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