Cluster Headache in Subjects With Substance Use Disorder: A Case Series and a Review of the Literature

Objective To describe a case series of 7 patients presenting cluster headache (CH) criteria and a substance use disorder, reported to a French Addictovigilance center. Then, to assess clinical, pharmacological, and neurobiological linkages between substance use and CH onset. Background CH patients a...

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Vydáno v:Headache Ročník 59; číslo 4; s. 576 - 589
Hlavní autoři: Ponté, Camille, Giron, Aurélie, Crequy, Marie, Lapeyre‐Mestre, Maryse, Fabre, Nelly, Salles, Juliette
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Wiley Subscription Services, Inc 01.04.2019
American Headache Society
Témata:
Addictions
addictovigilance
Adult
Alcoholic beverages
Cannabis
cluster headache
Cluster Headache / epidemiology
Clusters
Cocaine
Coexistence
Comorbidity
Drug abuse
drugs
Female
France / epidemiology
Headache
Headaches
Human health and pathology
Humans
Hypothalamus
Infectious diseases
Life Sciences
Literature reviews
Male
Males
Middle Aged
Narcotics
Neurobiology
Neurology
Opioids
Patients
Pharmacology
Population studies
Psychiatry
Substance use
Substance use disorder
Substance-Related Disorders / epidemiology
Therapeutic applications
Tobacco
comorbidity
addictovigilance
drugs
cluster headache
ISSN:0017-8748, 1526-4610, 1526-4610
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Shrnutí:Objective To describe a case series of 7 patients presenting cluster headache (CH) criteria and a substance use disorder, reported to a French Addictovigilance center. Then, to assess clinical, pharmacological, and neurobiological linkages between substance use and CH onset. Background CH patients are presenting a higher prevalence of comorbidities, among which the use of psychoactive substances, licit or illicit, have been explored by a few authors. Recently, 3 cases of CH in patients seen in the hospital‐based addiction care center have been reported to the Toulouse addictovigilance center. Methods Other cases have been identified in the same tertiary hospital after a collaborative investigation done with the departments of neurology and psychiatry and included in the case series. A narrative review was performed to assess the potential of psychoactive substance consumption to induce or facilitate CH. Results From 2016 to 2018, 6 males and 1 female aged between 26 and 54 years old, presenting CH criteria and a substance use disorder, were included in our case series. Among substances used, there are: (1) daily use of tobacco and alcohol in 5/7 subjects; (2) daily or almost daily use of cocaine in 5/7 subjects; (3) regular use of cannabis before attacks beginning in 4/7 subjects; and (4) opioids, as a substitutive medication or abused, in 5/7 subjects. The intranasal route administration is reported by all the subjects and precedes the beginning of attacks for 5/7 subjects. Conclusions We have found a CH prevalence of 0.9% in our studied population, while it is estimated at 0.1% in the general population. The coexistence of cluster headache and addiction behaviors reflects possible common neurobiological pathways, which would include the hypothalamus. Research could be conducted on the potential of hypothalamic therapeutic targets.
Bibliografie:ObjectType-Article-1
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ObjectType-Case Study-2
ObjectType-Review-5
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ISSN:0017-8748
1526-4610
1526-4610
DOI:10.1111/head.13516