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Published on: June 2, 2014
Secondary headaches in the elderly
1Dipartimento Testa Collo, Ospedale P.A. Micone, ASL 3 Genovese, Largo Nevio Rosso, CAP 16153, Genoa, Italy. paolo.tanganelli@asl3.liguria.it
Abstract:
The prevalence of headache decreases with age. However, headache is still ranked as one of the most frequent complaints in the elderly. Aging is accompanied by a decline in the incidence of most primary headache disorders and by an increase in organic causes of headache, especially after 55-60 years of age. New onset headaches or a change in headache pattern in this age group carries a high index of suspicion for organic diseases. A broad differential diagnosis and unique diagnostic considerations must be considered. Secondary headache disorders reflect underlying organic diseases such as giant cell arteritis, intracranial mass lesion, cerebrovascular diseases or metabolic abnormality.
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