Komplikasi, Prognosis,

SKDI
Tension Type Headache
Sofya Sugi Setyawati Sembiring
Prognosis
• Tension-type headaches (TTH) may be painful, but are not harmful. Most
cases are intermittent and do not interfere with work or normal life span.
However, they may become chronic if life stressors are not changed.
Complications
• Overreliance on nonprescription caffeine-containing analgesics
• Dependence on/addiction to narcotic analgesics
• GI bleed from use of NSAIDs
• Risk of epilepsy 4 times greater than that of the general population
• Medication overuse headache
Tension Headache: Background, Pathophysiology, Etiology. 2021. Tension Headache:
Background, Pathophysiology, Etiology. [ONLINE] Available at: 
https://emedicine.medscape.com/article/792384-overview. [Accessed 28 February 2021].
PROGNOSIS
• Among 146 subjects with frequent episodic tension-type headache and 15 with chronic
tension-type headache at baseline, 45% experienced infrequent or no tension-type
headache (remission), 39% had frequent episodic tension-type headache, and 16%
experienced chronic tension-type headache (poor outcome) at follow-up.
• In the follow-up of child cohorts, the remission rate of tension-type headache is higher
than for migraine
• A follow-up of adult outpatients found that 44% with chronic tension-type headache at
baseline reported complete remission or marked reduction at 10-year follow-up, whereas
29% with episodic tension-type headache had developed chronic tension-type headache
at follow-up
• A poor outcome of chronic tension-type headache is associated with older age at
baseline, female gender, low educational level, coexisting other headaches, analgesic
overuse, not being married, and sleeping problems
Lyngberg, A. C., Rasmussen, B. K., Jorgensen, T., & Jensen, R. (2005). Prognosis of migraine and tension-type
headache: A population-based follow-up study. Neurology, 65(4), 580–
585. doi:10.1212/01.wnl.0000172918.74999.8a 
SKDI 4
• Tingkat Kemampuan 4
Lulusan dokter mampu membuat diagnosis klinik dan penatalaksanaan
penyakit tersebut secara mandiri dan tuntas.
• Kompetensi yang dicapai pada saat lulus dokter
Lulusan dokter mampu membuat diagnosis klinik berdasarkan
anamnesis, pemeriksaan fisik dan hasil pemeriksaan penunjang, serta
mengusulkan penatalaksanaan penyakit atau melakukan
penatalaksanaan penyakit secara mandiri sesuai tugas klinik yang
dipercayakan (entrustable professional activity) pada saat pendidikan
dan pada saat penilaian kemampuan.