PRIMARY HEADACHES IN CHILDREN: DIAGNOSTICS AND TREATMENT APPROACHES

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Abstract

Objective of the review - to discuss the problem of headaches prevalence in children and adolescents and to consider its causes and modern principles of diagnosis and treatment. Indications for additional assessment methods including those for excluding secondary headaches are presented. Primary headaches predominate in children and adolescents. The bases for diagnosis are clinical presentation characteristics that are presented in diagnostic criteria “International Classification of Headache Disorders” 3rd edition (2018). Frequent clinical forms of primary headaches are discussed: migraine, tension headache, as well as paroxysmal syndromes that occur only in children and can be combined with migraine (cyclic vomiting syndrome, abdominal migraine form, benign paroxysmal positional vertigo, and benign paroxysmal torticolis). Modern guidelines on pain management and prevention therapy of primary headaches in children and adolescents are presented. Conclusion. Early diagnosis and treatment of headaches in children and adolescents are of great value. Determination and elimination of trigger factors and timely started drug and non-drug treatment allow to improve patients’ quality of life and prevent transformation into chronic types of headaches.

About the authors

Lurii E. Nesterovskii

Pirogov Russian National Research Medical University

Email: yenest@bk.ru
канд. мед. наук, доц., доц. каф. неврологии, нейрохирургии и медицинской генетики им. акад. Л.О. Бадаляна педиатрического фак-та ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Москва, Россия

Nikolai N. Zavadenko

Pirogov Russian National Research Medical University

д-р мед. наук, проф., зав. каф. неврологии, нейрохирургии и медицинской генетики им. акад. Л.О. Бадаляна педиатрического фак-та ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Москва, Россия

Elena M. Shipilova

Pirogov Russian National Research Medical University

ассистент каф. неврологии, нейрохирургии и медицинской генетики им. акад. Л.О. Бадаляна педиатрического фак-та ФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Москва, Россия

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