CTH most commonly means Computed Tomography of the Head (a brain CT scan), but in pain clinics it can also mean Chronic Tension Headaches
What's going on here?
CTH is a dual-use acronym in healthcare: it may mean either Computed Tomography Head (a CT scan of the brain) or Chronic Tension Headaches
In radiology reports, CTH stands for Computed Tomography Head—a quick, painless scan that gives doctors a clear look inside your skull RadiologyInfo.org. Over in neurology or pain clinics, though, CTH usually points to Chronic Tension-type Headaches. That means you're dealing with headaches at least 15 days a month for three months or longer, with that familiar squeezing sensation around your temples International Classification of Headache Disorders, 3rd edition. Context is everything here—where you see this acronym in your records makes all the difference.
Here's how to figure out which one applies to you
If you see CTH in a radiology report, it is almost always a CT scan of the head; if you see it in a neurology or pain-clinic note, it likely refers to chronic tension-type headaches
Radiology context: Hop into your health portal and poke around the imaging section. Look for entries labeled “CTH” or “Head CT” under procedures. If those show up, your doctor ordered the scan to check for things like bleeding, stroke damage, or skull fractures Mayo Clinic. Can't find it? The radiology department can confirm whether the test actually happened—just give them a ring.
Neurology or pain-clinic context: Pull up your provider's note and hunt for the word “headache” or scan the “history of present illness” section. Spot phrases like “daily,” “constant,” or “≥15 days/month”? That’s your clue it’s about chronic tension-type headaches, not an imaging study American Academy of Neurology.
