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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
Institution:(1) Headache Clinic, University Hospital, School of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil;(2) Departamento de Clínica Médica, Faculdade de Medicina, Federal University of Minas Gerais (UFMG), Av. Alfredo Balena, 190. Santa Efigênia, Belo Horizonte, MG, 30130-100, Brazil
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.
Keywords:Migraine  Chronic daily headache  Obsessive–  compulsive disorder  Psychiatric comorbidity
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