Vasconcelos Luiz Paulo Bastos, Silva Melissa Costa, Costa Esther Angélica Coelho, da Silva Júnior Ariovaldo Alberto, Gómez Rodrigo Santiago, Teixeira Antônio Lúcio
Headache Clinic, University Hospital, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil.
J Headache Pain. 2008 Dec;9(6):397-400. doi: 10.1007/s10194-008-0069-z. Epub 2008 Sep 19.
Psychiatric disorders, notably mood and anxiety disorders, are frequently associated with migraine and chronic daily headaches. The obsessive-compulsive disorder (OCD) is included in the spectrum of anxiety disorders and may be a comorbid condition in headache patients. However, little information has been reported in the literature about this association. This is an important issue as OCD may contribute to the development or maintenance of treatment-resistant chronic headaches. In this paper, we describe a young female patient with refractory chronic migraine and OCD. Considerations on diagnosis, management and treatment of these comorbid conditions are presented.
精神障碍,尤其是情绪和焦虑障碍,常常与偏头痛和慢性每日头痛相关。强迫症(OCD)属于焦虑障碍范畴,可能是头痛患者的一种共病情况。然而,关于这种关联的文献报道较少。这是一个重要问题,因为强迫症可能导致难治性慢性头痛的发生或持续存在。在本文中,我们描述了一位患有难治性慢性偏头痛和强迫症的年轻女性患者。文中还介绍了对这些共病情况的诊断、管理及治疗的相关考量。