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Related Experiment Videos

Headache in the elderly.

Richard A Walker1, Michael C Wadman

  • 1Department of Emergency Medicine, University of Nebraska Medical Center, 981150 Nebraska Medical Center, Omaha, NE 68198, USA. rwalker1@unmc.edu

Clinics in Geriatric Medicine
|April 28, 2007
PubMed
Summary
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Headaches in older adults may signal serious conditions. Prompt neurological assessment is crucial to rule out life-threatening causes before considering benign headache types.

Area of Science:

  • Neurology
  • Geriatrics

Background:

  • Headaches in the elderly can indicate serious, life-threatening conditions.
  • A thorough assessment, including a neurologic examination, is essential for all elderly patients presenting with headache.

Purpose of the Study:

  • To highlight serious and benign causes of headaches in the elderly.
  • To guide clinicians in the diagnostic and treatment approach for geriatric headaches.

Main Methods:

  • Review of potential serious etiologies requiring emergent treatment.
  • Discussion of common benign headache disorders in older adults.

Main Results:

  • Serious conditions like subarachnoid hemorrhage, subdural hematoma, giant cell arteritis, intracranial neoplasm, cerebrovascular accident, and infections (meningitis, encephalitis) must be excluded.

Related Experiment Videos

  • Benign causes include migraine, tension headache, and medication withdrawal.

    • Conclusions:

    • Early and comprehensive evaluation is critical for identifying dangerous causes of headaches in the elderly.
    • Differentiating between emergent and non-emergent headache etiologies guides appropriate management in geriatric patients.