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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.
Unlabelled:
The aim of this paper is to review the main topics about the management of paediatric tension-type headache. A Medline search was undertaken of all reports and reviews published between 1990 and 2010 using MeSH search terms 'tension-type headache (TTH), 'treatment' and 'children'. TTH is a very common disorder in childhood and adolescents. In many cases, the frequency and intensity of episodes may be likely to interfere with school and social activities. For this reason, a correct diagnosis and appropriate management of TTH are essential. A detailed history and proper examination, as well as a headache diary, are essential for this purpose and help to distinguish secondary causes of headache. Lacking are studies to test the efficacy and safety of pharmacological treatment in children, and a few well-tested drugs are available for this purpose. To date, relaxation techniques and biofeedback are therefore best placed as the first-line therapies.
Conclusion:
A thorough evaluation of headache in paediatric age is necessary to make a correct diagnosis and start the appropriate treatment. In particular, an appropriate management requires an individually tailored strategy which should include both pharmacological and nonpharmacological therapies. New treatment options for elderly patients with headache including acute, prophylactic and interventional techniques are needed.
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