[Primary headache in children]. / Wann und wie müssen Sie eingreifen?

ABSTRACT

Primary idiopathic headache in childhood can usually be reliably diagnosed on the basis of a comprehensive anamnesis and neurological examination. Wherever necessary, an individualized work-up (including imaging procedures) may be needed to exclude secondary headache. Overall, treatment of headaches is integrative and multimodal, and includes pharmacotherapy, psychological interventional measures, modification. of the daily routine (e.g. drinking, sleeping) and trigger point-based physiotherapy. Fundamental to the treatment of migraine in children is a rapid and appropriate administration of analgesics. In the case of tension headache, the main therapeutic thrust is directed towards adaptation of behavior.