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[Prophylactic treatment of headache]
1Sección de Neurología Infantil; Hospital Universitario Virgen del Rocío, Sevilla, 41013, España. mrufo@nacom.es
Revista De Neurologia
|October 6, 2001
Summary
Effective pediatric headache management requires personalized prophylactic treatment. Identifying triggers and considering behavioral therapies are key before initiating medication for chronic headaches in children.
Area of Science:
- Neurology
- Pediatrics
- Pain Management
Context:
- Headache is the most common neurological disorder in children.
- Prophylactic treatment studies for pediatric headaches are limited due to challenges in pain assessment.
- Individualized treatment is crucial, considering patient age, headache frequency, pain intensity, and family dynamics.
Purpose:
- To outline the principles of prophylactic headache treatment in children.
- To emphasize the importance of identifying headache triggers and underlying factors.
- To guide the selection and administration of prophylactic therapies for pediatric headaches.
Summary:
- Prophylactic treatment for chronic headaches in children necessitates identifying trigger factors and tailoring interventions. Behavioral therapies, psychological support, and relaxation techniques can reduce headache frequency and intensity.
- Medication is considered when non-pharmacological methods fail, with tricyclic antidepressants as a primary choice for tension-type headaches.
- Prophylactic migraine treatment in children typically starts with monotherapy for 3-6 months and may include beta-blockers, calcium antagonists, antidepressants, NSAIDs, and anticonvulsants.
Impact:
- Provides a framework for managing chronic headaches in pediatric populations.
- Highlights the need for a multimodal and individualized approach to treatment.
- Informs clinical practice regarding the appropriate use of behavioral interventions and pharmacotherapy.