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2015 | OriginalPaper | Buchkapitel

14. Kopfschmerztherapie

verfasst von : Prof. Dr. med. Boris Zernikow, Dr. med. Markus Blankenburg, Prof. Dr. med. Michael Überall

Erschienen in: Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Kopfschmerzen sind die häufigsten chronischen oder rezidivierenden Schmerzen im Kindes- und Jugendalter. Grundlage der Therapie ist eine Einteilung der Kopfschmerzen orientiert an internationalen Standards und einer nachvollziehbaren Phänomenologie. Die wichtigsten primären Kopfschmerzformen sind Spannungskopfschmerzen und Migräne, die im Kindesalter oft gemeinsam auftreten. Kinder und Jugendliche müssen diese beiden Kopfschmerzformen unterscheiden lernen, um bei Spannungskopfschmerzen Ablenkungsstrategien sowie bei Migräneattacken Analgetika einzusetzen. Psychologische und andere nichtmedikamentöse Verfahren helfen, die Häufigkeit von Kopfschmerzattacken zu reduzieren. Eine tägliche Einnahme von Prophylaktika ist in der Regel nicht indiziert. Analgetikainduzierte Kopfschmerzen kommen auch in der Pädiatrie vor, trigeminoautonome Kopfschmerzen sind sehr selten.
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Zurück zum Zitat Zakrzewska JM, Chaudry Z, Nurmikko TJ, Patton DW, Mullens EL (1997) Lamotrigine (Lamictal) in refractory trigeminal neuralgia: results from a double-blind placebo controlled crossover trial. Pain 73: 223–230PubMed Zakrzewska JM, Chaudry Z, Nurmikko TJ, Patton DW, Mullens EL (1997) Lamotrigine (Lamictal) in refractory trigeminal neuralgia: results from a double-blind placebo controlled crossover trial. Pain 73: 223–230PubMed
Zurück zum Zitat Zernikow B, Wager J, Hechler T, Hasan C, Rohr U, Dobe M, Meyer A, Hübner-Möhler B, Wamsler C, Blankenburg M (2012) Characteristics of highly impaired children with severe chronic pain: a 5-year retrospective study on 2249 pediatric pain patients. BMC Pediatrics 12: 54PubMedCentralPubMed Zernikow B, Wager J, Hechler T, Hasan C, Rohr U, Dobe M, Meyer A, Hübner-Möhler B, Wamsler C, Blankenburg M (2012) Characteristics of highly impaired children with severe chronic pain: a 5-year retrospective study on 2249 pediatric pain patients. BMC Pediatrics 12: 54PubMedCentralPubMed
Metadaten
Titel
Kopfschmerztherapie
verfasst von
Prof. Dr. med. Boris Zernikow
Dr. med. Markus Blankenburg
Prof. Dr. med. Michael Überall
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-45057-4_14

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