Headaches in hospitalized cocaine users

Richard B. Lipton, M. Choy-Kwong, S. Solomon

Research output: Chapter in Book/Report/Conference proceedingChapter

16 Citations (Scopus)

Abstract

We reviewed the medical records of 283 cocaine users consecutively admitted to a municipal hospital and identified 37 patients (13.1%) complaining of headaches. These patients were divided into three groups. Three patients had migraine-like headaches and transient hemiparesis associated with cocaine use. Five patients had headaches associated with cocaine withdrawal. In 29 patients headaches were not clearly associated with cocaine. Twenty-two of the 29 had chronic daily headaches; nine of these patients were depressed. Three had focal brain lesions with chronic daily headache or acute onset global headache. The four remaining patients had other headaches. Based on these findings, we conclude that: (1) Headache is a common complaint in hospitalized cocaine users; (2) Cocaine may occassionally trigger a syndrome which resembles hemiplegic migraine. The potential mechanisms of this syndrome will be discussed; (3) Hospitalized cocaine users who present with headaches most frequently have depression with suicidal ideation, often associated with cocaine withdrawal; and (4) Structural brain disease in these patients may result from a variety of causes.

Original languageEnglish (US)
Title of host publicationHeadache
Pages225-228
Number of pages4
Volume29
Edition4
StatePublished - 1989

Fingerprint

Cocaine
Headache
Headache Disorders
Migraine Disorders
Municipal Hospitals
Suicidal Ideation
Brain Diseases
Paresis
Medical Records
Depression
Brain

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

Cite this

Lipton, R. B., Choy-Kwong, M., & Solomon, S. (1989). Headaches in hospitalized cocaine users. In Headache (4 ed., Vol. 29, pp. 225-228)

Headaches in hospitalized cocaine users. / Lipton, Richard B.; Choy-Kwong, M.; Solomon, S.

Headache. Vol. 29 4. ed. 1989. p. 225-228.

Research output: Chapter in Book/Report/Conference proceedingChapter

Lipton, RB, Choy-Kwong, M & Solomon, S 1989, Headaches in hospitalized cocaine users. in Headache. 4 edn, vol. 29, pp. 225-228.
Lipton RB, Choy-Kwong M, Solomon S. Headaches in hospitalized cocaine users. In Headache. 4 ed. Vol. 29. 1989. p. 225-228
Lipton, Richard B. ; Choy-Kwong, M. ; Solomon, S. / Headaches in hospitalized cocaine users. Headache. Vol. 29 4. ed. 1989. pp. 225-228
@inbook{5589cec837dd4b5696bc12ad33393b3c,
title = "Headaches in hospitalized cocaine users",
abstract = "We reviewed the medical records of 283 cocaine users consecutively admitted to a municipal hospital and identified 37 patients (13.1{\%}) complaining of headaches. These patients were divided into three groups. Three patients had migraine-like headaches and transient hemiparesis associated with cocaine use. Five patients had headaches associated with cocaine withdrawal. In 29 patients headaches were not clearly associated with cocaine. Twenty-two of the 29 had chronic daily headaches; nine of these patients were depressed. Three had focal brain lesions with chronic daily headache or acute onset global headache. The four remaining patients had other headaches. Based on these findings, we conclude that: (1) Headache is a common complaint in hospitalized cocaine users; (2) Cocaine may occassionally trigger a syndrome which resembles hemiplegic migraine. The potential mechanisms of this syndrome will be discussed; (3) Hospitalized cocaine users who present with headaches most frequently have depression with suicidal ideation, often associated with cocaine withdrawal; and (4) Structural brain disease in these patients may result from a variety of causes.",
author = "Lipton, {Richard B.} and M. Choy-Kwong and S. Solomon",
year = "1989",
language = "English (US)",
volume = "29",
pages = "225--228",
booktitle = "Headache",
edition = "4",

}

TY - CHAP

T1 - Headaches in hospitalized cocaine users

AU - Lipton, Richard B.

AU - Choy-Kwong, M.

AU - Solomon, S.

PY - 1989

Y1 - 1989

N2 - We reviewed the medical records of 283 cocaine users consecutively admitted to a municipal hospital and identified 37 patients (13.1%) complaining of headaches. These patients were divided into three groups. Three patients had migraine-like headaches and transient hemiparesis associated with cocaine use. Five patients had headaches associated with cocaine withdrawal. In 29 patients headaches were not clearly associated with cocaine. Twenty-two of the 29 had chronic daily headaches; nine of these patients were depressed. Three had focal brain lesions with chronic daily headache or acute onset global headache. The four remaining patients had other headaches. Based on these findings, we conclude that: (1) Headache is a common complaint in hospitalized cocaine users; (2) Cocaine may occassionally trigger a syndrome which resembles hemiplegic migraine. The potential mechanisms of this syndrome will be discussed; (3) Hospitalized cocaine users who present with headaches most frequently have depression with suicidal ideation, often associated with cocaine withdrawal; and (4) Structural brain disease in these patients may result from a variety of causes.

AB - We reviewed the medical records of 283 cocaine users consecutively admitted to a municipal hospital and identified 37 patients (13.1%) complaining of headaches. These patients were divided into three groups. Three patients had migraine-like headaches and transient hemiparesis associated with cocaine use. Five patients had headaches associated with cocaine withdrawal. In 29 patients headaches were not clearly associated with cocaine. Twenty-two of the 29 had chronic daily headaches; nine of these patients were depressed. Three had focal brain lesions with chronic daily headache or acute onset global headache. The four remaining patients had other headaches. Based on these findings, we conclude that: (1) Headache is a common complaint in hospitalized cocaine users; (2) Cocaine may occassionally trigger a syndrome which resembles hemiplegic migraine. The potential mechanisms of this syndrome will be discussed; (3) Hospitalized cocaine users who present with headaches most frequently have depression with suicidal ideation, often associated with cocaine withdrawal; and (4) Structural brain disease in these patients may result from a variety of causes.

UR - http://www.scopus.com/inward/record.url?scp=0024830393&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024830393&partnerID=8YFLogxK

M3 - Chapter

C2 - 2714972

AN - SCOPUS:0024830393

VL - 29

SP - 225

EP - 228

BT - Headache

ER -