Headache in chronic cocaine users: A cross-sectional study.
Cephalalgia
; 34(9): 671-678, 2014 Aug.
Article
em En
| MEDLINE
| ID: mdl-24500813
ABSTRACT
BACKGROUND:
Headache is one of the most common symptoms after cocaine use.METHODS:
We investigated headache frequency and characteristics and the correlation between headache and acute cocaine intake in a cross-sectional study in a consecutive series of chronic cocaine users.RESULTS:
Participation rate was 94.1%. Of the 80 subjects enrolled, 72 (90%) reported current headaches, in most cases migraine or probable migraine without aura. Of these 72, 29 (40.3%) had a headache history, whereas 43 (59.7%) reported de novo headache after beginning to use cocaine. After acute cocaine use, a large percentage of users reported headache attacks 86.2% of previous headache sufferers (migraine or probable migraine without aura in all cases) and 93% of de novo headache sufferers (migraine/probable migraine without aura = 35; episodic tension-type headache = three patients; cocaine-induced headache= two patients). Most subjects reported that when they used cocaine headaches worsened.CONCLUSION:
Chronic cocaine use frequently seems to worsen or induce headache with migraine or migraine-like characteristics, probably owing to a serotoninergic and dopaminergic system impairment. In headache sufferers, especially those with migraine headaches, clinicians should enquire into possible cocaine use.
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Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Prevalence_studies
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article