Med. Pro Praxi 2006; 2: 80-82

Tenzní bolesti hlavy

MUDr. Jolana Marková1,2
1 Neurologické oddělení Nemocnice Kladno, Regionální poradna pro diagnostiku a léčbu bolesti
2 Neurologická klinika, Fakultní Thomayerova nemocnice, Praha

Tenzní bolesti hlavy (tension type headache, TTH) jsou častou primární bolestí hlavy, která někdy během života postihne většinu populace. Jako ostatní primární bolesti hlavy ani TTH neohrožují pacienta na životě, jsou však nepříjemné, snižují kvalitu života. Častá je komorbidita s depresí. Patogeneza není ještě zcela objasněna, předpokládá se účast jak periferních, tak i centrálních mechanizmů ve vzniku tenzní bolesti hlavy. Léčba jednoduchými analgetiky a nesteroidními antirevmatiky je u akutní bolesti hlavy většinou dostatečně účinná, v preventivní léčbě pak využíváme tricyklická antidepresiva nebo SSRI. Svůj význam má i léčba nefarmakologická.

Keywords: epizodická tenzní bolest hlavy, chronická tenzní bolest hlavy, patofyziologie tenzních bolestí hlavy, farmakologická a nefarmakologická léčba tenzních bolestí hlavy

Published: September 1, 2006  Show citation

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Marková J. Tenzní bolesti hlavy. Med. praxi. 2006;3(2):80-82.
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