Headaches in elderly persons are usually benign. Nevertheless, the pos
sibility of underlying organic disease increases with age. To facilita
te diagnosis and determine suitable treatment, primary care physicians
should become familiar with diagnostic criteria for common causes of
headache in elderly persons. Thorough physical examination and history
taking can help rule out many underlying diseases. Benign headaches c
an usually he managed successfully with available non-pharmacologic an
d/or pharmacologic interventions. When organic disease (eg, temporal a
rteritis, cerebrovascular disease, tumor) is suspected, referral to an
appropriate specialist may be indicated.