Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review

ABSTRACT Background The aim of this review is to synthesize the existing knowledge regarding headaches attributed to external physical stimuli, as classified by the ICHD‐3 (Group 4.6). Two forms can be distinguished in this group: (1) headache attributed to external compression and (2) headache attr...

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Main Authors: Ole Hensel, Torsten Kraya
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Brain and Behavior
Subjects:
Online Access:https://doi.org/10.1002/brb3.70202
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author Ole Hensel
Torsten Kraya
author_facet Ole Hensel
Torsten Kraya
author_sort Ole Hensel
collection DOAJ
description ABSTRACT Background The aim of this review is to synthesize the existing knowledge regarding headaches attributed to external physical stimuli, as classified by the ICHD‐3 (Group 4.6). Two forms can be distinguished in this group: (1) headache attributed to external compression and (2) headache attributed to external traction. Methods A comprehensive literature review was conducted using the Medline (PubMed) database and other relevant academic sources. All English‐language articles were subjected to a relevance assessment. Results The prevalence of the two types of headache varies considerably, with a higher incidence observed in women or in the presence of predisposing factors (e.g., work with compulsory helmets or long hair). An external‐compression headache is typically described as a pressing sensation, whereas an external‐traction headache is characterized by a sensation of pulling. The headaches typically persist for less than an hour after the stimulus has ceased, and the intensity is typically reported as mild to moderate. Apart from avoiding the trigger, which is not always possible, effective therapies have not been established. Conclusion Both types of headaches are relatively common, yet they remain underrepresented in the scientific literature. Furthermore, there is a dearth of comprehensive overviews. If the triggering factor cannot be eliminated, both types of headaches can interfere with daily living and working.
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spelling doaj-art-4aa35e6c0fa74288b2c5ca2744bc00702025-01-29T13:36:39ZengWileyBrain and Behavior2162-32792025-01-01151n/an/a10.1002/brb3.70202Primary Headache Attributed to External Compression or Traction to the Head: A Narrative ReviewOle Hensel0Torsten Kraya1University Clinic and Outpatient Clinic for Neurology Martin‐Luther‐University Halle‐Wittenberg Halle/Saale GermanyUniversity Clinic and Outpatient Clinic for Neurology Martin‐Luther‐University Halle‐Wittenberg Halle/Saale GermanyABSTRACT Background The aim of this review is to synthesize the existing knowledge regarding headaches attributed to external physical stimuli, as classified by the ICHD‐3 (Group 4.6). Two forms can be distinguished in this group: (1) headache attributed to external compression and (2) headache attributed to external traction. Methods A comprehensive literature review was conducted using the Medline (PubMed) database and other relevant academic sources. All English‐language articles were subjected to a relevance assessment. Results The prevalence of the two types of headache varies considerably, with a higher incidence observed in women or in the presence of predisposing factors (e.g., work with compulsory helmets or long hair). An external‐compression headache is typically described as a pressing sensation, whereas an external‐traction headache is characterized by a sensation of pulling. The headaches typically persist for less than an hour after the stimulus has ceased, and the intensity is typically reported as mild to moderate. Apart from avoiding the trigger, which is not always possible, effective therapies have not been established. Conclusion Both types of headaches are relatively common, yet they remain underrepresented in the scientific literature. Furthermore, there is a dearth of comprehensive overviews. If the triggering factor cannot be eliminated, both types of headaches can interfere with daily living and working.https://doi.org/10.1002/brb3.70202external‐compression headacheexternal‐traction headachehelmet headachehijab headacheponytail headache
spellingShingle Ole Hensel
Torsten Kraya
Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review
Brain and Behavior
external‐compression headache
external‐traction headache
helmet headache
hijab headache
ponytail headache
title Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review
title_full Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review
title_fullStr Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review
title_full_unstemmed Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review
title_short Primary Headache Attributed to External Compression or Traction to the Head: A Narrative Review
title_sort primary headache attributed to external compression or traction to the head a narrative review
topic external‐compression headache
external‐traction headache
helmet headache
hijab headache
ponytail headache
url https://doi.org/10.1002/brb3.70202
work_keys_str_mv AT olehensel primaryheadacheattributedtoexternalcompressionortractiontotheheadanarrativereview
AT torstenkraya primaryheadacheattributedtoexternalcompressionortractiontotheheadanarrativereview