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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.53 no.3a São Paulo Sept. 1995

http://dx.doi.org/10.1590/S0004-282X1995000300012 

Possíveis etapas na patogênese da cefaléia tensional e indicações de tratamento

 

Tension headache: possible pathogenic stages and its relations with therapeutic agents

 

 

Ceme Ferreira Jordy

Livre-Docente, Professor Adjunto de Neurologia da Escola Paulista de Medicina, Professor Colaborador de Neuropsicologia do Instituto de Psicologia da Universidade de São Paulo

 

 


RESUMO

Análise de resultados obtidos no estudo de uma série de 100 pacientes com diagnóstico de cefaléia tensional permitem sugerir 5 etapas de um processo fisiopatogênico implicado. Com base nesta sugestão, a indicação para o tratamento e respectiva eficácia, dependerão da etapa patogênica sobre a qual se pretenda fazer incidir a ação terapêutica.

Palavras-chave: cefaléia tensional, fisiopatogenia, tratamento, diagnóstico.


SUMMARY

Five steps in the pathogenic process involved in the tension headache pathogenesis are suggested from a 100 patients clinical study. Therapeutic efficacy in the treatment of the tension headache is considered to be linked to the relation between the therapeutic agent and the stage in which it has focused its effect, in the pathogenic process.

Key words:tension headache, diagnostic procedures, pathogenetics, strategies of treatment.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

Agradecimento

Agradeço à Sra. Ivany S.Jordy, pelas leituras e críticas e o incentivo que contribuíram para a elaboração deste estudo.

 

REFERÊNCIAS

1.  Borgeat F, Hade B, Elie R, Larouche LM. Effects of voluntary muscle tension increases in tension headache. Headache 1984, 24:199-202.         [ Links ]

2.  Classification and Diagnostic Criteria for Headache Disorders, Cranial Neuralgias and Facial Pain. Cephalalgia, 1988, 8 (Suppl 7).         [ Links ]

3.  Cohen MJ, McAarthur DL. Classification of migraine and tension headache from a survey of 10000 headache diaries. Headache, 1981, 21:25-29.         [ Links ]

4.  Haber JD, Kuczmierczyk AJ, Adams HE. Tension headaches: muscle overactivity or psychogenic pain. Headache 1985, 25: 23-29.         [ Links ]

5.  Holm JE, Holroyd KA, Hursey KG, Penzien DB. The role of stress in recurrent tension headache. Headache 1986, 26:160-167.         [ Links ]

6.  Parckard RC. What is psychogenic headache?. Headache 1976, 16:20-23.         [ Links ]

7.  Sturgis ET, Schaefer CA, Ahles TA, Sikora TL. Effect of movement and position in the evaluation of tension headache and nonheadache control subjects. Headache 1984, 24:88-93.         [ Links ]

8.  Weeks R, Baskin S, Rapoport A, Sheftell F, Arrowsmith F. A comparison of MMPI personality data and frontalis electromyographic readings in migraine and combination headache patients. Headache 1983, 23:75-82.         [ Links ]

9.  Ziegler DK. Headache syndromes: problems of definition. Psychosomatics 1979, 20:443-447.         [ Links ]

 

 

Aceite: 20-fevereiro-1995.

 

 

Dr. Ceme Ferreira Jordy - Avenida Sabiá 418 - 04515-000 São Paulo SP - Brasil.

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