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• W2053870560 abstract "Aunque la prevalencia de las cefaleas disminuye en las personas mayores (≥ 65 años), son causa importante de consulta, con particularidades diagnósticas y terapéuticas que es necesario conocer. Analizamos las características de este grupo etario en una consulta de cefaleas. Recogimos las variables demográficas y clínicas de los pacientes atendidos en una consulta de cefaleas de un hospital terciario (enero del 2008-mayo del 2012). Las cefaleas se codificaron según la Clasificación Internacional de Cefaleas, 2.ª edición (CIC-2). Doscientos sesenta y dos pacientes (189 mujeres, 73 varones) con ≥ 65 años fueron atendidos sobre un total de 1.868 (14%); 99 (68 mujeres, 31 varones, 5,3% del total) superaban los 75 años. Inicio de la cefalea tras los 65 años en 136 casos (51,9%). Se codificaron 362 cefaleas, el 23,8% en el grupo 1 de CIC-2 (migrañas) y el 28,7% en el grupo 2 (cefalea tensional). Se diagnosticaron 59 (16%) cefaleas secundarias; 26 (7,2%) se encuadraron en el grupo 13 (neuralgias) y 23 (6,4%) en el grupo 14 (no clasificables). En 38 casos (14,5%) había sobreúso de medicación sintomática. Entre las cefaleas típicas de esta edad identificamos 41 migrañas crónicas, 6 cefaleas hípnicas, 4 neuralgias del occipital, 2 SUNCT, una cefalea cervicogénica, una cefalea primaria de la tos y 2 arteritis de la temporal. El porcentaje de personas mayores atendidas en una consulta de cefaleas es elevado. La cefalea tensional es la más frecuente en esta población. Cefaleas típicas de esta edad, como la cefalea hípnica o la neuralgia del occipital, están presentes. Although headache prevalence decreases in patients older than 65, headaches are a common complaint and their different clinical and therapeutic features must be understood. This article analyses the clinical characteristics of elderly patients treated in an outpatient headache unit. We collected demographic and clinical data from patients treated in a tertiary hospital headache unit between January 2008 and May 2013. Headaches were codified according to the International Classification of Headache Disorders, 2nd edition (ICHD-2). Of a total of 1868 patients treated, 262 patients (14%, 189 women and 73 men) were older than 65 years. Ninety-nine (68 women, 31 men, 5.3% of the total) were over 75. Headaches began after the age of 65 in only 136 patients (51.9%). The 362 headaches were codified as follows: 23.8% as Group 1 (Migraine) and 28.7% as Group 2 (Tension-type headache). We diagnosed 58 (16%) secondary headaches; 26 (7.2%) were classified as Group 13 (Cranial neuralgias) and 23 (6.4%) in Group 14 (Other headaches). Symptomatic medication overuse was detected in 38 patients (14.5%). We also identified headaches considered typical in the elderly, including chronic migraine (41 cases), hypnic headache (6), occipital neuralgia (4), SUNCT (2), cervicogenic headache (1), primary cough headache (1), and giant cell arteritis (2). Elderly patients were frequently treated in our outpatient headache unit. Tension-type headache was the most common diagnosis in this population. Geriatric headache syndromes such as hypnic headache or occipital neuralgia were also represented in our series." @default.
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• W2053870560 date "2014-07-01" @default.
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• W2053870560 title "Cefaleas en la persona mayor: características de una serie de 262 pacientes" @default.
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• W2053870560 doi "https://doi.org/10.1016/j.nrl.2013.07.007" @default.
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