Tension-type headache – the disease of children, adolescents and adults


DOI: https://dx.doi.org/10.18565/therapy.2021.5.66-76

Zavadenko N.N., Shypilova E.M., Nesterovskiy Yu.E., Zavadenko A.N.

N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare, Moscow
Abstract. According to epidemiological studies in recent years, tension headache (HAT) has become not only the most common form of headache, but also the most common neurological pathology in the world. The onset of HAT often occurs in childhood and adolescence, which is not sufficiently taken into account by specialists. Late and inaccurate diagnosis of HAT leads to the lack of timely rational treatment, adversely affects the socio-psychological adaptation of patients. The review highlights the multifactorial pathogenesis of HAT, including peripheral and central mechanisms that provoke HAT factors. The classification of HAT and features of its clinical manifestations in pediatric age are presented. In children and adolescents with HAT, insufficient attention is paid to identifying comorbid disorders that affect the HAT clinical course and may contribute to its chronicity. Meanwhile, with timely diagnosis and adequate therapy, many patients with HAT achieve a significant improvement in the course and prognosis of the disease, also clinical remission is possible. Modern approaches to preventive therapy of HAT in children and adolescents are discussed.
Keywords: treatment of tension headache, comorbid disorders, tension headache, adolescents, children, pathogenesis, diagnosis, epidemiology
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About the Autors

Nikolay N. Zavadenko, MD, professor, head of the Department of neurology, neurosurgery and medical genetics named after Academician L.O. Badalyan of the Faculty of pediatrics, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare. Address: 117997, Moscow, 117 Leninsky Avenue. E-mail: zavadenko@mail.ru. ORCID: 0000-0003-0103-7422. Author ID (SCOPUS): 7004071775
Elena M. Shipilova, assistant of the Department of neurology, neurosurgery and medical genetics named after Academician L.O. Badalyan of the Faculty of pediatrics, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare. Address: 117997, Moscow, 117 Leninsky Avenue. E-mail: horeva_e@mail.ru. ORCID: 0000-0002-8104-0068
Yuri E. Nesterovskiy, PhD, associate professor, associate professor of the Department of neurology, neurosurgery and medical genetics named after Academician L.O. Badalyan of the Faculty of pediatrics, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare. Address: 117997, Moscow, 117 Leninsky Avenue. E-mail: yenest@bk.ru. ORCID: 0000-0002-4276-8400
Alexandra N. Zavadenko, PhD, associate professor of the Department of neonatology of the Faculty of continuous professional education, N.I. Pirogov Russian National Research Medical University of the Ministry of Healthcare. Address: 123001, Moscow, 15/2 Sadovo-Kudrinskaya Str. E-mail: aleks.zavadenko@gmail.com. ORCID: 0000-0002-3856-1618


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