Diagnosis and Treatment of Primary Headache Disorders in Older Adults.

Thomas Berk, Sait Ashina, Vincent Martin, Lawrence Newman, Brinder Vij

Journal of the American Geriatrics Society 2018 December

OBJECTIVES: To provide a unique perspective on geriatric headache and a number of novel treatment options that are not well known outside of the headache literature.

DESIGN: Review of the most current and relevant headache literature for practitioners specializing in geriatric care.

RESULTS: Evaluation and management of headache disorders in older adults requires an understanding of the underlying pathophysiology and how it relates to age-related physiological changes. To treat headache disorders in general, the appropriate diagnosis must first be established, and treatment of headaches in elderly adults poses unique challenges, including potential polypharmacy, medical comorbidities, and physiological changes associated with aging.

CONCLUSION: The purpose of this review is to provide a guide to and perspective on the challenges inherent in treating headaches in older adults. J Am Geriatr Soc 66:2408-2416, 2018.

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