HEADACHE IN THE ELDERLY - jhasim.com

S556 Vol. 3 (6C) June 2003 ABSTRACTH eadaches occur more frequently in theelderly than is commonly appreciated. This articlediscusses the challenges associated with diagnos-ing and managing HEADACHE disorders in theelderly and reviews the most common primaryheadache disorders (late-life migrainous accom-paniments, tension-type HEADACHE , clusterheadache, and hypnic HEADACHE ) as well as sec-ondary HEADACHE disorders (medication overuseheadache, giant cell arteritis, exploding headsyndrome, and lesional headaches). With a focuson the different presentations and etiologies ofheadache in patients older than 65 years, neu-rologists have many tools at their disposal forappropriate management. (Adv Stud ;3(6C):S556-S561) HEADACHE , migraine in particular, is typi-cally considered a disorder of youngerto middle-aged adults. The prevalenceof migraine is highest between the agesof 20 and 55 years, peaking at aboutage 40 years and declining ,2 However, theprimary HEADACHE disorders exist in older studies report that 53% of men and 64% ofwomen aged 55 to 74 years experience HEADACHE , as wellas 22% of men and 55% of women 75 years and is reported to be the 10th most commonsymptom in ELDERLY women and 14th most common inelderly demogr

S556 Vol. 3 (6C) June 2003 ABSTRACT Headaches occur more frequently in the elderly than is commonly appreciated. This article discusses the challenges associated with diagnos-

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