Tension-type headache in paediatric age

Pasquale Parisi1, Laura Papetti, Alberto Spalice

  • 1Child Neurology, Headache Paediatric Center, Paediatric Sleep Centre, Chair of Pediatrics, II Faculty of Medicine, Sapienza University, c/o Sant'Andrea Hospital, Rome, Italy. pasquale.parisi@uniroma1.it

Insights

Paediatric tension-type headache (TTH) significantly impacts children

Area of Science:

  • Pediatric Neurology
  • Headache Medicine
  • Clinical Review

Background:

  • Tension-type headache (TTH) is a prevalent neurological disorder in children and adolescents.
  • Frequent and intense TTH episodes can disrupt academic and social functioning.
  • Accurate diagnosis and effective management are crucial for improving quality of life.

Purpose of the Study:

  • To review current management strategies for pediatric tension-type headache.
  • To identify evidence-based treatment options for TTH in children.
  • To highlight gaps in research regarding pharmacological interventions.

Main Methods:

  • Comprehensive literature search of Medline database (1990-2010).
  • Utilized MeSH terms: 'tension-type headache', 'treatment', and 'children'.
  • Focused on review articles and original reports concerning pediatric TTH management.

Main Results:

  • Detailed patient history, physical examination, and headache diaries are essential for diagnosis.
  • Limited studies exist on the efficacy and safety of pharmacological treatments for pediatric TTH.
  • Relaxation techniques and biofeedback are recommended as first-line non-pharmacological therapies.

Conclusions:

  • A comprehensive evaluation is necessary for accurate diagnosis and appropriate treatment of pediatric headaches.
  • Management strategies should be individualized, incorporating both pharmacological and non-pharmacological approaches.
  • Further research is needed to develop new treatment options for various headache types in pediatric populations.
Abstract

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