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Tension-type Headache in the Elderly.

Robert G Kaniecki1

  • 1Robert G. Kaniecki, MD University of Pittsburgh, 120 Lytton Avenue, Suite 300, Pittsburgh, PA 15213, USA. kanieckirg@upmc.edu.

Current Treatment Options in Neurology
|February 10, 2007
PubMed
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Tension-type headaches are common in adults, including the elderly. Diagnosis requires excluding other conditions, but age is favorable for remission, with various management options available.

Area of Science:

  • Neurology
  • Geriatric Medicine

Background:

  • Tension-type headache is the most prevalent primary headache disorder in adults.
  • While prevalence peaks in middle age, elderly individuals frequently experience chronic or episodic tension-type headaches.
  • Secondary headache disorders can mimic tension-type headaches and are more common in older adults.

Purpose of the Study:

  • To highlight the diagnostic challenges of tension-type headache in the elderly.
  • To emphasize the need to exclude organic disease in older adults.
  • To review management strategies and prognostic factors for tension-type headache in the elderly.

Main Methods:

  • Literature review focusing on epidemiology, diagnosis, and management of tension-type headache in older adults.
  • Analysis of diagnostic criteria and differential diagnoses relevant to geriatric populations.

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  • Examination of pharmacologic and non-pharmacologic treatment options and their adaptations for the elderly.

    • Main Results:

    • Diagnosis in the elderly necessitates careful exclusion of secondary causes.
    • Effective non-pharmacologic and pharmacologic treatments exist for reducing headache frequency and severity.
    • Special dosing considerations are crucial for elderly patients.
    • Advancing age is associated with a better prognosis for headache remission.

    Conclusions:

    • Diagnosing tension-type headache in the elderly requires vigilance for secondary causes.
    • Management should be tailored, considering age-related factors and potential drug interactions.
    • Older age positively influences the prognosis for remission of tension-type headaches.