title: Tension-type headache in paediatric age.
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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Child 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
authors.forename: Pasquale
authors.initials: P
authors.lastname: Parisi
authors.forename: Laura
authors.initials: L
authors.lastname: Papetti
authors.forename: Alberto
authors.initials: A
authors.lastname: Spalice
authors.forename: Francesco
authors.initials: F
authors.lastname: Nicita
authors.forename: Fabiana
authors.initials: F
authors.lastname: Ursitti
authors.forename: Maria Pia
authors.initials: MP
authors.lastname: Villa
mesh_terms: D000293:Adolescent; D001676:Biofeedback, Psychology; D002648:Child; D006801:Humans; D012064:Relaxation Therapy; D018781:Tension-Type Headache / Q000175:diagnosis / Q000628:therapy*