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Diagnosis and Treatment of Primary Headache Disorders in Older Adults
Author(s) -
Berk Thomas,
Ashina Sait,
Martin Vincent,
Newman Lawrence,
Vij Brinder
Publication year - 2018
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/jgs.15586
Subject(s) - medicine , polypharmacy , headaches , perspective (graphical) , geriatrics , primary care , medline , intensive care medicine , physical therapy , pediatrics , psychiatry , family medicine , artificial intelligence , computer science , political science , law
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 .