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Treatment of Headache in the Older Patient

At the end of this lecture you will be able to:​
  • Recognize the epidemiology and clinical spectrum of primary and secondary headache disorders in older adults.

  • Differentiate between typical migraine and new-onset headache in late life, emphasizing red flags and secondary causes.

  • Identify common secondary headache etiologies in the late life e.g., temporal arteritis, intracranial mass, vascular disorders, medication overuse, sleep apnea).

  • Apply appropriate diagnostic strategies, including when to order neuroimaging, vascular imaging, or laboratory investigations.

  • Evaluate safety and tolerability profiles of acute and preventive headache medications in older adults, including drug–drug interactions and polypharmacy concerns.

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