Headache

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter presents a case study of 70-year-old woman who presented with 5 days of a headache that she reported as diffuse, pressure-like, and 10 out of 10 in intensity. It describes features of the primary and secondary headaches that are most common in older adults. The chapter discusses the tension-type headache, migraine headache, trigeminal neuralgia, hypnic headache, giant cell arteritis, cervical artery dissection, subarachnoid hemorrhage, traumatic headache and cervicogenic headache. Serum testing for cryptococcal antigen and Lyme disease can help exclude these disease processes too, though positive serum tests will require confirmatory spinal fluid analysis. Spinal fluid analysis should be considered in older adults when a headache etiology remains unclear. Triptans and dihydroergotamine, which are two frequently used evidence-based classes of parenteral primary headache disorder medications, are associated with increased risk of cardiovascular events in patients with cardiovascular risk factors, including advanced age.

Original languageEnglish (US)
Title of host publicationGeriatric Emergencies
Subtitle of host publicationA Discussion-based Review
PublisherWiley Blackwell
Pages123-138
Number of pages16
ISBN (Electronic)9781118753262
ISBN (Print)9781118753347
DOIs
StatePublished - May 31 2016

Fingerprint

Headache
Primary Headache Disorders
Traumatic Subarachnoid Hemorrhage
Post-Traumatic Headache
Dihydroergotamine
Tryptamines
Tension-Type Headache
Trigeminal Neuralgia
Giant Cell Arteritis
Lyme Disease
Serum
Migraine Disorders
Dissection
Arteries
Antigens
Pressure

Keywords

  • Cervical artery dissection
  • Cluster headache
  • Giant cell arteritis
  • Headache disorder medications
  • Hypnic headache
  • Spinal fluid analysis
  • Subarachnoid hemorrhage
  • Tension headache
  • Trigeminal neuralgia

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Friedman, B. W., & Nerenberg, R. H. (2016). Headache. In Geriatric Emergencies: A Discussion-based Review (pp. 123-138). Wiley Blackwell. https://doi.org/10.1002/9781118753262.ch10

Headache. / Friedman, Benjamin W.; Nerenberg, Rebecca H.

Geriatric Emergencies: A Discussion-based Review. Wiley Blackwell, 2016. p. 123-138.

Research output: Chapter in Book/Report/Conference proceedingChapter

Friedman, BW & Nerenberg, RH 2016, Headache. in Geriatric Emergencies: A Discussion-based Review. Wiley Blackwell, pp. 123-138. https://doi.org/10.1002/9781118753262.ch10
Friedman BW, Nerenberg RH. Headache. In Geriatric Emergencies: A Discussion-based Review. Wiley Blackwell. 2016. p. 123-138 https://doi.org/10.1002/9781118753262.ch10
Friedman, Benjamin W. ; Nerenberg, Rebecca H. / Headache. Geriatric Emergencies: A Discussion-based Review. Wiley Blackwell, 2016. pp. 123-138
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