Headache Characteristics in Addicts During Substance Abuse, Withdrawal and Rehabilitation
Journal Title: Journal of Neurological Sciences-Turkish - Year 2012, Vol 29, Issue 3
Abstract
Objective: We organized this prospective clinical based multidisciplinary study in order to determine clinical headache types and clinical determinants of headache disorders induced by substance abuse in relation to phases of substance abuse (abuse, abstinence and rehabilitation). Method: The study consisted of 460 consecutive patients who were diagnosed as addicts and were treated as inpatient and/or outpatients at AMATEM. Patients were assessed in three groups: Group I; Psycho stimulant users, Group II; Psycho depressant users and Group III Multiple substance abusers. They were examined during substance abuse (Phase I), withdrawal (Phase II) and rehabilitation (Phase III). Headache diagnosis has been made by a headache specialist according to ICHD-II. Results: In total, 296 subjects (64.3%) reported recurrent headaches in all study phases. Patients were diagnosed as tension type headache (TTH) (45.0%), migraine (16.5%) like headache disorders, and secondary headache disorders (2.8%), respectively. The most frequent substance abused headache was related to cannabis (9.3%), it's followed by heroine and multiple substances (4.3%). Conclusion: It was concluded that primary headache disorders are an important comorbidity of substance abusers. More information has to need about headache triggered by substance addiction.
Authors and Affiliations
Musa Ozturk, Burcu Polat, Yavuz Altunkaynak, Belgin Mutluay, Refhan Ozturk, Aynur Ozge, Duran Cakmak, Sevim Baybas
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