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The diagnoses of the 193 patients aged 65 and over who attended the service of neurology in the past 15 years with de novo headaches as their initial and main symptom were specifically analyzed.Headaches beginning in elderly people represented only 5.4%of headaches in all ages,whereas 12.1% of the population in this health area was 65 or over.Head pain appeared more frequently in women(63%),although post-traumatic,cluster and benign cough headaches were almost restricted to men.Tension type headaches(83 patients,43%of the aged patients)and idiopathic trigeminal neuralgia(36, 19%)were the most frequent diagnoses.Fifteen per cent of the elderly patients v 1.5%of patients under 65 presented with headache secondary to serious conditions such as strokes,temporal arteritis,or intracranial neoplasm.Only one patient over 65 met migraine criteria.It is concluded that whereas the incidence of patients with headache attending a general hospital decreases with age,the risk of headaches due to serious conditions increased ten fold after age 65. |
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arteritis,temporal
cerebrovascular accident
headache
headache,elderly
headache,etiology of
neoplasm,intracranial
old age,neurology of
tension headache
trigeminal neuralgia
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