RESULTS: Migraine and TTH have been debated to have more similarities than distinctions, increasing chances of misdiagnosis and leading to significant cases diagnosed as probable TTH or probable migraine. The lack of specificity and sensitivity for TTH classification often leads to the diagnosis being made by negating associated migraine symptoms. Although pathology is not well understood, some studies have suggested a neurological basis for TTH, in need of further validation. Some research indicates that nitric oxide signaling plays an integral part in the pain mechanisms related to TTH. Analgesics and non-steroidal anti-inflammatories are usually the first lines of treatment for children with recurring headaches, and additional treatment options include medication and behavioral therapies. With high prevalence and socioeconomic burden among children and adolescents, it\'s essential to further study Tension-type headaches and secondary headaches without known cause and potential interventions. Treatment studies involving randomized controlled trials are also needed to test the efficacy of various treatments further.
结果:偏头痛和TTH有更多的相似之处而不是区别,增加了误诊的机会,并导致被诊断为可能的TTH或可能的偏头痛的重大病例。TTH分类缺乏特异性和敏感性通常导致通过否定相关的偏头痛症状进行诊断。虽然病理学不是很清楚,一些研究提出了TTH的神经学基础,需要进一步验证。一些研究表明,一氧化氮信号在与TTH相关的疼痛机制中起着不可或缺的作用。镇痛药和非甾体抗炎药通常是复发性头痛儿童的一线治疗方法,和额外的治疗选择包括药物和行为疗法。儿童和青少年的高患病率和社会经济负担,在没有已知原因和潜在干预措施的情况下,进一步研究紧张型头痛和继发性头痛是至关重要的。还需要涉及随机对照试验的治疗研究来进一步测试各种治疗的功效。