2.1.2 Infrequent episodic tension-type headache not associated with pericranial tenderness

A 61-year-old man reports that his most recent bout represented his tenth such head pain episode that he can remember over the years. He says the pain builds gradually and lasts anywhere between about thirty-five minutes and several days each time. He characterised it as mild to moderate, gripping and tight rather than throbbing, like a band squeezing around his skull. He noticed no unusual reaction to light and none to sound during any of these episodes, and there was no nausea and he did not vomit. Pressing over his own scalp, forehead or the muscles of his neck showed no tenderness, and he confirmed he has not had a headache day at all in the past month.