What causes pediatric tension-type headache?

Updated: Jan 02, 2019
  • Author: J Ivan Lopez, MD, FAAN, FAHS; Chief Editor: George I Jallo, MD  more...
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The causes of tension-type headache are still poorly understood. A combination of muscular factors, abnormal pain-perception mechanisms, and central emotional abnormalities exist, all possibly linked to brain-stem serotonergic interneurons. Furthermore, central and peripheral sensitization is involved. Contrary to common belief, the relevance of muscle contraction itself is marginal, especially in the chronic form.

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