Headaches in the elderly

Richard B. Lipton, Deborah Pfeffer, Lawrence C. Newman, Seymour Solomon

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Headache prevalence and etiology vary dramatically with age. The prevalence of primary headache disorders, such as migraine and cluster, declines with age, while the prevalence of secondary headache disorders, such as temporal arteritis and mass lesions, increases. In evaluating elderly patients with new onset of headache, a high index of suspicion for organic disease is required. Headache symptomatology also varies with age. For example, migraine may evolve into a pattern of chronic daily headache, or auras may occur in the absence of headache (late-life migraine accompaniments). A careful longitudinal headache history is therefore important. Headache management is also influenced by age. Elderly people are more susceptible to medication side effects and are often treated with several drugs. Medications may cause headaches and drug interactions may complicate therapy. For these reasons, age of onset and duration of illness are critical headache features that guide the subsequent approach to diagnosis and treatment.

Original languageEnglish (US)
Pages (from-to)87-97
Number of pages11
JournalJournal of Pain and Symptom Management
Volume8
Issue number2
DOIs
StatePublished - 1993

Fingerprint

Headache
Migraine Disorders
Secondary Headache Disorders
Primary Headache Disorders
Headache Disorders
Giant Cell Arteritis
Drug Interactions
Age of Onset
Critical Illness
Epilepsy
Therapeutics
Pharmaceutical Preparations

Keywords

  • elderly
  • etiologies
  • Headache
  • presentation
  • treatment

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

Cite this

Headaches in the elderly. / Lipton, Richard B.; Pfeffer, Deborah; Newman, Lawrence C.; Solomon, Seymour.

In: Journal of Pain and Symptom Management, Vol. 8, No. 2, 1993, p. 87-97.

Research output: Contribution to journalArticle

Lipton, Richard B. ; Pfeffer, Deborah ; Newman, Lawrence C. ; Solomon, Seymour. / Headaches in the elderly. In: Journal of Pain and Symptom Management. 1993 ; Vol. 8, No. 2. pp. 87-97.
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