Late Onset Headache
Journal Title: Journal of the Indian Medical Association - Year 2017, Vol 115, Issue 12
Abstract
Late onset headache presents a challenging problem in neurological practice. New onset headache in persons over 50 is a red flag and secondary causes, some of which may be sinister and life threatening must be ruled out. Although migraine and tension type headache continue to be common in this age group, the typical clinical features as seen in younger individuals may not be present and hence may pose a diagnostic challenge. For example, some elderly patients may develop isolated aura without headache that needs to be differentiated from transient ischemic attacks, amyloid spells and seizures. In addition, clinicians should be aware of some of the uncommon primary headache syndromes that are more common in this age group. This review describes some of the important conditions causing late onset headache and provides an algorithm for diagnosis of headache in elderly.
Authors and Affiliations
Debashish Chowdhury, Ashish Kumar Duggal
Keywords
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