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Published in: The Journal of Headache and Pain 6/2008

Open Access 01-12-2008 | Brief Report

Obsessive compulsive disorder and migraine: case report, diagnosis and therapeutic approach

Authors: Luiz Paulo Bastos Vasconcelos, Melissa Costa Silva, Esther Angélica Coelho Costa, Ariovaldo Alberto da Silva Júnior, Rodrigo Santiago Gómez, Antônio Lúcio Teixeira

Published in: The Journal of Headache and Pain | Issue 6/2008

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Abstract

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.
Literature
1.
go back to reference Juang KD, Wang SJ, Fuh JL et al (2000) Comorbity of depression and anxiety disorders in chronic daily headache and its subtypes. Headache 40:818–823, 11135026, 10.1046/j.1526-4610.2000.00148.x, 1:STN:280:DC%2BD3M7jvFaluw%3D%3DCrossRefPubMed Juang KD, Wang SJ, Fuh JL et al (2000) Comorbity of depression and anxiety disorders in chronic daily headache and its subtypes. Headache 40:818–823, 11135026, 10.1046/j.1526-4610.2000.00148.x, 1:STN:280:DC%2BD3M7jvFaluw%3D%3DCrossRefPubMed
2.
go back to reference Radat F, Swendsen J (2005) Psychiatric comorbidy in migraine: a review. Cephalalgia 25:165–178, 15689191, 10.1111/j.1468-2982.2004.00839.x, 1:STN:280:DC%2BD2M%2FmtVyqsw%3D%3DCrossRefPubMed Radat F, Swendsen J (2005) Psychiatric comorbidy in migraine: a review. Cephalalgia 25:165–178, 15689191, 10.1111/j.1468-2982.2004.00839.x, 1:STN:280:DC%2BD2M%2FmtVyqsw%3D%3DCrossRefPubMed
3.
go back to reference Torelli P, Lambru G, Manzoni GC (2006) Psychiatric comorbidity and headache: clinical and therapeutical aspects. Neurol Sci 27:S73–S76, 16688633, 10.1007/s10072-006-0574-2CrossRefPubMed Torelli P, Lambru G, Manzoni GC (2006) Psychiatric comorbidity and headache: clinical and therapeutical aspects. Neurol Sci 27:S73–S76, 16688633, 10.1007/s10072-006-0574-2CrossRefPubMed
4.
go back to reference Guidetti V, Galli FT, Fabrizi P et al (1998) Headache and psychiatric comorbidity: clinical aspects and outcomes in an 8-year follow-up study. Cephalalgia 18:455–462, 9793697, 10.1046/j.1468-2982.1998.1807455.x, 1:STN:280:DyaK1M%2FhtVWisA%3D%3DCrossRefPubMed Guidetti V, Galli FT, Fabrizi P et al (1998) Headache and psychiatric comorbidity: clinical aspects and outcomes in an 8-year follow-up study. Cephalalgia 18:455–462, 9793697, 10.1046/j.1468-2982.1998.1807455.x, 1:STN:280:DyaK1M%2FhtVWisA%3D%3DCrossRefPubMed
5.
go back to reference Mazzone L, Vitiello B, Incorpora G, Mazzone D (2005) Behavioural and temperamental characteristics of children and adolescents suffering from primary headache. Cephalalgia 26:194–201, 10.1111/j.1468-2982.2005.01015.xCrossRef Mazzone L, Vitiello B, Incorpora G, Mazzone D (2005) Behavioural and temperamental characteristics of children and adolescents suffering from primary headache. Cephalalgia 26:194–201, 10.1111/j.1468-2982.2005.01015.xCrossRef
6.
go back to reference Pakalnis A, Gibson J, Colvin A (2005) Comorbidity of psychiatric and behavioral disorders in pediatric migraine. Headache 45:590–596, 15953278, 10.1111/j.1526-4610.2005.05113.xCrossRefPubMed Pakalnis A, Gibson J, Colvin A (2005) Comorbidity of psychiatric and behavioral disorders in pediatric migraine. Headache 45:590–596, 15953278, 10.1111/j.1526-4610.2005.05113.xCrossRefPubMed
7.
go back to reference Pakalnis A, Butz C, Splaingard D, Kring D, Fong J (2007) Emotional problems and prevalence of medication overuse in pediatric chronic daily headache. J Child Neurol 22:1356–1359, 18174551, 10.1177/0883073807307090CrossRefPubMed Pakalnis A, Butz C, Splaingard D, Kring D, Fong J (2007) Emotional problems and prevalence of medication overuse in pediatric chronic daily headache. J Child Neurol 22:1356–1359, 18174551, 10.1177/0883073807307090CrossRefPubMed
8.
go back to reference Wang SJ, Fuh JL, Lu SR, Juang KD (2007) Outcomes and predictors of chronic daily headache in adolescents: a 2-year longitudinal study. Neurology 68:591–596, 17182975, 10.1212/01.wnl.0000252800.82704.62CrossRefPubMed Wang SJ, Fuh JL, Lu SR, Juang KD (2007) Outcomes and predictors of chronic daily headache in adolescents: a 2-year longitudinal study. Neurology 68:591–596, 17182975, 10.1212/01.wnl.0000252800.82704.62CrossRefPubMed
9.
go back to reference Baskin SM, Lipchik GL, Smitherman TA (2006) Mood and anxiety disorders in chronic headache. Headache 46(Suppl 3):S76–S87, 17034402, 10.1111/j.1526-4610.2006.00559.xCrossRefPubMed Baskin SM, Lipchik GL, Smitherman TA (2006) Mood and anxiety disorders in chronic headache. Headache 46(Suppl 3):S76–S87, 17034402, 10.1111/j.1526-4610.2006.00559.xCrossRefPubMed
10.
go back to reference Headache Classification Subcommittee of the IHS (2004) The International Classification of Headache Disorders, 2nd edn. Cephalalgia 24 (Suppl 1):8–160 Headache Classification Subcommittee of the IHS (2004) The International Classification of Headache Disorders, 2nd edn. Cephalalgia 24 (Suppl 1):8–160
11.
go back to reference Lewis D, Ashwal S, Hershey A et al (2004) Practice parameter: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcommittee and the Practice Committee of the Child Neurology Society. Neurology 63(12):2215–2224, 15623677, 1:STN:280:DC%2BD2cnkslSquw%3D%3DCrossRefPubMed Lewis D, Ashwal S, Hershey A et al (2004) Practice parameter: pharmacological treatment of migraine headache in children and adolescents: report of the American Academy of Neurology Quality Standards Subcommittee and the Practice Committee of the Child Neurology Society. Neurology 63(12):2215–2224, 15623677, 1:STN:280:DC%2BD2cnkslSquw%3D%3DCrossRefPubMed
12.
go back to reference American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DC
13.
go back to reference Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33, 9881538PubMed Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33, 9881538PubMed
14.
go back to reference Riva D, Aggio F, Vago C et al (2006) Cognitive and behavioural effects of migraine in childhood and adolescence. Cephalalgia 26:596–603, 16674769, 10.1111/j.1468-2982.2006.01072.x, 1:STN:280:DC%2BD283ltVCktA%3D%3DCrossRefPubMed Riva D, Aggio F, Vago C et al (2006) Cognitive and behavioural effects of migraine in childhood and adolescence. Cephalalgia 26:596–603, 16674769, 10.1111/j.1468-2982.2006.01072.x, 1:STN:280:DC%2BD283ltVCktA%3D%3DCrossRefPubMed
15.
go back to reference Sareen J, Jacobi F, Cox BJ et al (2006) Disability and poor quality of life associated with comorbid anxiety disorders and physical conditions. Arch Intern Med 166:2109–2116, 17060541, 10.1001/archinte.166.19.2109CrossRefPubMed Sareen J, Jacobi F, Cox BJ et al (2006) Disability and poor quality of life associated with comorbid anxiety disorders and physical conditions. Arch Intern Med 166:2109–2116, 17060541, 10.1001/archinte.166.19.2109CrossRefPubMed
16.
go back to reference Maizels M, Smitherman TA, Penzien DB (2006) A review of screening tools for psychiatric comorbidity in headache patients. Headache 46(Suppl 3):S98–S109, 17034404, 10.1111/j.1526-4610.2006.00561.xCrossRefPubMed Maizels M, Smitherman TA, Penzien DB (2006) A review of screening tools for psychiatric comorbidity in headache patients. Headache 46(Suppl 3):S98–S109, 17034404, 10.1111/j.1526-4610.2006.00561.xCrossRefPubMed
17.
go back to reference Baskin SM (2007) Managing the “difficult” headache patient. Neurol Sci 28:S78–S83, 17508185, 10.1007/s10072-007-0755-7CrossRefPubMed Baskin SM (2007) Managing the “difficult” headache patient. Neurol Sci 28:S78–S83, 17508185, 10.1007/s10072-007-0755-7CrossRefPubMed
18.
go back to reference Savarese M, Guazzelli M, Prudenzano MP et al (2005) Tertiary treatment for psychiatric comorbidity in headache patients. J Headache Pain 6:231–233, 16362672, 10.1007/s10194-005-0193-y, 1:CAS:528:DC%2BD28XmvFGmtbk%3DPubMedCentralCrossRefPubMed Savarese M, Guazzelli M, Prudenzano MP et al (2005) Tertiary treatment for psychiatric comorbidity in headache patients. J Headache Pain 6:231–233, 16362672, 10.1007/s10194-005-0193-y, 1:CAS:528:DC%2BD28XmvFGmtbk%3DPubMedCentralCrossRefPubMed
19.
go back to reference Lipchik GL, Smitherman TA, Penzien DB et al (2006) Basic principles and techniques of cognitive-behavioral therapies for comorbid psychiatric symptoms among headache patients. Headache 46(Suppl 3):S119–S132, 17034390, 10.1111/j.1526-4610.2006.00563.xCrossRefPubMed Lipchik GL, Smitherman TA, Penzien DB et al (2006) Basic principles and techniques of cognitive-behavioral therapies for comorbid psychiatric symptoms among headache patients. Headache 46(Suppl 3):S119–S132, 17034390, 10.1111/j.1526-4610.2006.00563.xCrossRefPubMed
20.
go back to reference Griffith JL, Razavi M (2006) Pharmacological management of mood and anxiety disorders in headache patients. Headache 46(Suppl 3):S133–S141, 17034391, 10.1111/j.1526-4610.2006.00564.xCrossRefPubMed Griffith JL, Razavi M (2006) Pharmacological management of mood and anxiety disorders in headache patients. Headache 46(Suppl 3):S133–S141, 17034391, 10.1111/j.1526-4610.2006.00564.xCrossRefPubMed
21.
go back to reference Bigal ME, Rapoport AM, Sheftell FD et al (2004) Transformed migraine and medication overuse in a tertiary headache center—clinical characteristics and treatment outcomes. Cephalalgia 24:483–490, 15154858, 10.1111/j.1468-2982.2004.00691.x, 1:STN:280:DC%2BD2czhs12isw%3D%3DCrossRefPubMed Bigal ME, Rapoport AM, Sheftell FD et al (2004) Transformed migraine and medication overuse in a tertiary headache center—clinical characteristics and treatment outcomes. Cephalalgia 24:483–490, 15154858, 10.1111/j.1468-2982.2004.00691.x, 1:STN:280:DC%2BD2czhs12isw%3D%3DCrossRefPubMed
22.
go back to reference Thuile J, Even C, Guelfi JD (2006) Topiramate may induce obsessive-compulsive disorder. Psychiatry Clin Neurosci 60(3):394, 16732760, 10.1111/j.1440-1819.2006.01520.xCrossRefPubMed Thuile J, Even C, Guelfi JD (2006) Topiramate may induce obsessive-compulsive disorder. Psychiatry Clin Neurosci 60(3):394, 16732760, 10.1111/j.1440-1819.2006.01520.xCrossRefPubMed
23.
go back to reference Cohen D (2007) Should the use of selective serotonin reuptake inhibitors in child and adolescent depression be banned? Psychother Psychosom 76:5–14, 17170559, 10.1159/000096360CrossRefPubMed Cohen D (2007) Should the use of selective serotonin reuptake inhibitors in child and adolescent depression be banned? Psychother Psychosom 76:5–14, 17170559, 10.1159/000096360CrossRefPubMed
24.
go back to reference Silberstein SD, Peres MF, Hopkins MM et al (2002) Olanzapine in the treatment of refractory migraine and chronic daily headache. Headache 42:515–518, 12167140, 10.1046/j.1526-4610.2002.02126.xCrossRefPubMed Silberstein SD, Peres MF, Hopkins MM et al (2002) Olanzapine in the treatment of refractory migraine and chronic daily headache. Headache 42:515–518, 12167140, 10.1046/j.1526-4610.2002.02126.xCrossRefPubMed
25.
go back to reference Boccia G, Del Giucce E, Crrisanti AF et al (2006) Functional gastrointestinal disorders in migrainous children: efficacy of flunarizine. Cephalalgia 26(10):1214–1219, 16961789, 10.1111/j.1468-2982.2006.01196.x, 1:STN:280:DC%2BD28ngtVSqsQ%3D%3DCrossRefPubMed Boccia G, Del Giucce E, Crrisanti AF et al (2006) Functional gastrointestinal disorders in migrainous children: efficacy of flunarizine. Cephalalgia 26(10):1214–1219, 16961789, 10.1111/j.1468-2982.2006.01196.x, 1:STN:280:DC%2BD28ngtVSqsQ%3D%3DCrossRefPubMed
26.
go back to reference O’Kearney RT, Anstey KJ, Von Sanden C (2006) Behavioural and cognitive behavioural therapy for obsessive compulsive disorder in children and adolescents. Cochrane Database Syst Rev 18(4):CD004856 O’Kearney RT, Anstey KJ, Von Sanden C (2006) Behavioural and cognitive behavioural therapy for obsessive compulsive disorder in children and adolescents. Cochrane Database Syst Rev 18(4):CD004856
Metadata
Title
Obsessive compulsive disorder and migraine: case report, diagnosis and therapeutic approach
Authors
Luiz Paulo Bastos Vasconcelos
Melissa Costa Silva
Esther Angélica Coelho Costa
Ariovaldo Alberto da Silva Júnior
Rodrigo Santiago Gómez
Antônio Lúcio Teixeira
Publication date
01-12-2008
Publisher
Springer Milan
Published in
The Journal of Headache and Pain / Issue 6/2008
Print ISSN: 1129-2369
Electronic ISSN: 1129-2377
DOI
https://doi.org/10.1007/s10194-008-0069-z

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