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ISSN: 2637-6628

Online Journal of Neurology and Brain Disorders

Mini Review(ISSN: 2637-6628)

Medication and Psychotherapy for Cluster Headache with Opioid Abuse: A Case Report and Literature Review Volume 4 - Issue 3

Chu Yan Lin and Li Wan*

  • Department of Pain Management, The State Key Clinical Specialty for Pain Medicine, The Second Affiliated hospital, Guangzhou Medical University, Guangzhou, Guangdong, PR China

Received: August 26, 2020;   Published: September 02, 2020

Corresponding author: Li Wan, Department of Pain Management, The State Key Clinical Specialty for Pain Medicine, The Second Affiliated hospital, Guangzhou Medical University, Guangzhou, Guangdong,PR China

DOI: 10.32474/OJNBD.2020.04.000188

Abstract PDF

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Abstract

Background: Cluster headache is a common severe unilateral headache in clinical practice. It can seriously impact on patient life, including restrict in the patient daily living, interrupt the social-activity participation, family life, and overall life changes.

CasePresentation: Here, we reported a young cluster headache patient who received unregulated medicines treatment and other minimally invasive procedures for pain relief and doctors hoping for 2 years, due to the unsatisfied pain relief and timely severe pain attach, she developed opioid abuse. After she hospitalized to our department, the symptoms and attack characteristic were observed carefully and differentiation diagnosis was done to exclude the brain, cervical or trigeminal nerve disease. Standardized medicines for cluster headache was taken for her, except this, midazolam was given to antagonist opioids abuse for 1 weeks, the pain satisfied controlled and VAS 1-2, medicines were continuous for 6 months and follow up for 2 years, there are no opioid abuse again andthe patient returned to normal work.

Conclusion: Careful observation of pain attack, definitive correct diagnosis and medications are very important in prevent acute pain chronically, and health cognitive education and direction is also important in pain relief and prevent drug abuse and addiction.

Keywords: Cluster headache; Opioid abuse; Diagnosis; Health cognitive education and direction.

Abstract| Introduction| Case Presentation| Discussion| Conclusion| References|

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