Management of Headache in the Elderly

Matthew S. Robbins, MD

The Montefiore Headache Center
Saul R. Korey Department of Neurology
Albert Einstein College of Medicine
Bronx, NY

Diagnosis and management of headache can be challenging in older patients. New-onset headache is rare in this population and is usually a symptom of another disorder. All patients, therefore, should undergo neurologic and physical evaluations to screen for secondary disorders. Among primary headache disorders, tension-type headache is the most prevalent in the elderly. Management of headache disorders in older patients is complicated by high comorbidity rates and almost ubiquitous use of multiple medications; consideration of drug-drug interactions is therefore critical. Clinicians should also address risk factors associated with the transformation of headache from episodic to chronic. Here, Dr. Robbins discusses diagnostic and management challenges in elderly patients as well as available treatment options for headache disorders.

References

Robbins MS, Lipton RB. Management of headache in the elderly. Drugs Aging. 2010;27(5):377-398.
Tonini MC, Bussone G. Headache in the elderly: primary forms. Neurol Sci. 2010;31 (suppl 1):S67-71.
Tanganelli P. Secondary headaches in the elderly. Neurol Sci. 2010;31 (suppl 1):S73-6.

Would you like to comment? , or in if you are already a member.

Chronic opioid therapy and preventive services in rural primary care: an Oregon rural practice-based research network study.

Buckley DI, Calvert JF, Lapidus JA, et al.
Ann Fam Med. 2010;8(3):237-44.
PURPOSE:...

A different kind of co-morbidity: Understanding posttraumatic stress disorder and chronic pain

Beck JG, Clapp JD.
Psychol Trauma. 2011 Jun;3(2):101-108.
Many traumatic events leave...

The impact of enrollment in a specialized interdisciplinary neuropathic pain clinic

Garven A, Brady S, Wood S, Hatfield M, Bestard J, Korngut L, Toth C.
Pain Res Manag. 2011...

Association between urine drug test results and treatment outcome in high-risk chronic pain patients on opioids

Barth KS, Becker WC, Wiedemer NL, Mavandadi S, Oslin DW, Meghani SH, Gallagher RM.
J Addict...

The role of core strengthening for chronic low back pain.

Akuthota V, Standaert CJ, Chimes GP.
PM R. 2011 Jul;3(7):664-70.