Consilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum9523610.26442/20751753.2019.9.190464Review ArticlePRIMARY HEADACHES IN CHILDREN: DIAGNOSTICS AND TREATMENT APPROACHESNesterovskiiLurii E.yenest@bk.ruZavadenkoNikolai N.-ShipilovaElena M.-Pirogov Russian National Research Medical University15092019219748028122021Copyright © 2019, Consilium Medicum2019Objective 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.headacheschildrenadolescentsdiagnosismigrainetension headachecyclic vomiting syndromeabdominal migraine formbenign paroxysmal positional vertigobenign paroxysmal torticolistreatmentголовные болидетиподросткидиагнозмигреньголовные боли напряжениясиндром циклических рвотабдоминальная форма мигренидоброкачественное пароксизмальное головокружениедоброкачественный пароксизмальный тортиколизлечение[World Health Organization. Headache disorders and public health. Education and management implications. WHO. Geneva, 2004.][Abu-Arafeh I, Razak S, Sivaraman B, Graham C. Prevalence of headache and migraine in children and adolescents: a systematic review of population-based studies. Dev Med Child Neurol 2010; 52 (12): 1088-97. DOI: 10.1111/j.1469-8749.2010.03793.x][Lateef TM, Merikangas KR, He J et al. 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