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J Med Case Rep. 2011 Feb 24;5:77. doi: 10.1186/1752-1947-5-77.

New-onset headache in an elderly man with uremia that improved only after correction of hyperphosphatemia ("uremic headache"): a case report.

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1
Department of Medicine, ASCOMS, Sidhra, Jammu, J&K, India. panditakk@yahoo.co.in.

Abstract

INTRODUCTION:

New-onset headaches in the elderly are usually secondary and rarely primary. We present the case of an elderly man with recent-onset headache due to uremic hyperphosphatemia and hypocalcemia. To the best of our knowledge, this is the first case report of its kind in the literature.

CASE PRESENTATION:

We present the case of a 70-year-old Indian man with chronic kidney disease whose new-onset headache improved only when his hyperphosphatemia and hypocalcemia were corrected. He had diffuse, dense calcification of tentorium cerebelli and falx due to hyperphosphatemia.

CONCLUSIONS:

This case report reinforces the importance of identifying the cause of a new-onset headache, particularly in the elderly, and treating it before blaming a tension headache or primary headache as the cause.

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