University of California San Diego, 4510 Executive Drive # 325, San Diego, CA, 92121, USA.
UCSD Medical School, San Diego, CA, USA.
Curr Pain Headache Rep. 2022 Apr;26(4):331-335. doi: 10.1007/s11916-022-01029-7. Epub 2022 Apr 6.
Migraine is and continues to be a significant medical issue in older adults. Migraine can have different characteristics in older adults and specific diagnostic and treatment considerations need to be applied when managing headache and migraine in this population, which is increasing in both size and diversity. Contrary to widely held beliefs, migraine may not improve in older women following menopause and can have new onset in older age. The purpose of this review is to give an update on the diagnosis and treatment of episodic migraine in older adults.
As the population ages, migraine in older adults will become a more significant public health issue. Migraine in older adults can present with different clinical symptoms than in a younger population and is primarily a diagnosis of exclusion in older adults. Migraine treatment considerations for older adults should include comorbidities and medication interactions. Recent findings suggest there are medications that should be avoided when treating seniors with migraine. The purpose of this review is to give an update on the most important aspects regarding the diagnosis and treatment of headache and migraine in older adults. In addition, recommendations will be made concerning medications that need careful consideration when prescribing to seniors.
偏头痛在老年人中仍然是一个严重的医学问题。老年人偏头痛的特征可能有所不同，在管理这一人群的头痛和偏头痛时需要应用特定的诊断和治疗注意事项，该人群的数量和多样性都在增加。与普遍的看法相反，偏头痛在绝经后的老年女性中可能不会改善，而且在老年时可能会新发病。本综述的目的是更新老年人发作性偏头痛的诊断和治疗。
随着人口老龄化，老年人偏头痛将成为一个更严重的公共卫生问题。老年人偏头痛的临床表现可能与年轻人群不同，主要是通过排除诊断。老年人偏头痛的治疗注意事项应包括合并症和药物相互作用。最近的研究结果表明，在治疗老年人偏头痛时应避免使用某些药物。本综述的目的是更新关于老年人头痛和偏头痛的诊断和治疗最重要方面的信息。此外，还将就老年人开处方时需要谨慎考虑的药物提出建议。
