Tension-type headache in paediatric age

Pasquale Parisi, Laura Papetti, Alberto Spalice, Francesco Nicita, Fabiana Ursitti, Maria Pia Villa

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)491-495
Number of pages5
JournalActa Paediatrica, International Journal of Paediatrics
Volume100
Issue number4
DOIs
Publication statusPublished - Apr 2011

Keywords

  • Children
  • Tension-type headache
  • Treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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