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As Will Rogers observed, getting old is not much fun, but it sure beats the alternative. Age does have some compensations, though. For one thing, the elderly have fewer headaches. Unfortunately, about a third of those that occur are secondary to systemic disease or primary intracranial lesions. Dr Edmeads describes the special problems of diagnosing and treating headaches in the elderly. He also discusses headache-generating diseases that are more common with age.