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Line bisection in medication-overuse and chronic tension-type headaches

  • Research Article
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Translational Neuroscience

Abstract

Background

Both medication-overuse headache (MOH) and drug dependence share similar clinical features and the latter displays some deficits in visuospatial attention. The line bisection performance might help to indicate whether there is also a disruption in the visuospatial attention in MOH.

Methods

We administered the line bisection test and measured anxiety and depression levels in 21 patients with MOH, 26 patients with chronic tension-type headaches (CTTH) and in 22 healthy volunteers.

Results

On average, MOH patients significantly bisected leftward when referring to both frequency and magnitude, whereas the healthy volunteers and CTTH patients bisected slightly rightward. The levels of anxiety and depression were elevated in both MOH and CTTH patients compared to healthy volunteers, but the anxiety / depression levels were not correlated with the line bisection errors in all participants.

Conclusions

We found a pronounced pseudoneglect in MOH, which might indicate a relatively hyperactive right or hypoactive left hemisphere, or both, suggesting the disorder’s neuropsychological mechanism might overlap with that of drug dependence.

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References

  1. Katsarava Z., Obermann M., Medication-overuse headache, Curr. Opin. Neurol., 2013, 26, 276–281

    Article  PubMed  Google Scholar 

  2. Cupini L.M., Sarchielli P., Calabresi P., Medication overuse headache: neurobiological, behavioural and therapeutic aspects, Pain, 2010, 150, 222–224

    Google Scholar 

  3. de Felice M., Ossipov M.H., Porreca F., Update on medication-overuse headache, Curr. Pain Headache Rep., 2011, 15, 79–83

    Article  PubMed Central  PubMed  Google Scholar 

  4. Fuh J.L., Wang S.J., Lu S.R., Juang K.D., Does medication overuse headache represent a behavior of dependence?, Pain, 2005, 119, 49–55

    Article  PubMed  Google Scholar 

  5. Radat F., Creac’h C., Guegan-Massardier E., Mick G., Guy N., Fabre N., Giraud P., et al., Behavioral dependence in patients with medication overuse headache: a cross-sectional study in consulting patients using the DSM-IV criteria, Headache, 2008, 48, 1026–1036

    Article  PubMed  Google Scholar 

  6. Calabresi P., Cupini L.M., Medication-overuse headache: similarities with drug addiction, Trends Pharmacol. Sci., 2005, 26, 62–68

    Article  CAS  PubMed  Google Scholar 

  7. Evers S., Marziniak M., Clinical features, pathophysiology, and treatment of medication-overuse headache, Lancet Neurol., 2010, 9, 391–401

    Article  PubMed  Google Scholar 

  8. Radat F., Lanteri-Minet M., What is the role of dependence-related behavior in medication-overuse headache, Headache, 2010, 50, 1597–1611

    Article  PubMed  Google Scholar 

  9. Calandre E.P., Bembibre J., Arnedo M.L., Becerra D., Cognitive disturbances and regional cerebral blood flow abnormalities in migraine patients: their relationship with the clinical manifestations of the illness, Cephalalgia, 2002, 22, 291–302

    Article  CAS  PubMed  Google Scholar 

  10. Villa T.R., Correa Moutran A.R., Sobirai Diaz L.A., Pereira Pinto M.M., Carvalho F.A., Gabbai A.A., et al., Visual attention in children with migraine: a controlled comparative study, Cephalalgia, 2009, 29, 631–634

    Article  CAS  PubMed  Google Scholar 

  11. Genizi J., Gordon S., Kerem N.C., Srugo I., Shahar E., Ravid S., Primary headaches, attention deficit disorder and learning disabilities in children and adolescents, J. Headache Pain, 2013, 14, 54

    Article  PubMed Central  PubMed  Google Scholar 

  12. Beatty W.W., Blanco C.R., Hames K.A., Nixon S.J., Spatial cognition in alcoholics: influence of concurrent abuse of other drugs, Drug Alcohol Depend., 1997, 44, 167–174

    Article  CAS  PubMed  Google Scholar 

  13. Tomasi D., Goldstein R.Z., Telang F., Maloney T., Alia-Klein N., Caparelli E.C., Volkow N.D., Thalamo-cortical dysfunction in cocaine abusers: implications in attention and perception, Psychiatry Res., 2007, 155, 189–201

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  14. Leone L., McCourt M.E., The effect of acute ethanol challenge on global visuospatial attention: exaggeration of leftward bias in line bisection, Laterality, 2010, 15, 327–342

    Article  PubMed Central  PubMed  Google Scholar 

  15. Heilman K., Watson R., Valenstein E., Neglect and related disorders, In: Heilman K., Valensten E., (Eds.), Clinical neuropsychology, 2nd ed., Oxford University Press, New York, 1985

    Google Scholar 

  16. Schenkenberg T., Bradford D.C., Ajax E.T., Line bisection and unilateral visual neglect in patients with neurologic impairment, Neurology, 1980, 30, 509–517

    Article  CAS  PubMed  Google Scholar 

  17. Jewell G., McCourt M.E., Pseudoneglect: a review and meta-analysis of performance factors in line bisection tasks, Neuropsychologia, 2000, 38, 93–110

    Article  CAS  PubMed  Google Scholar 

  18. Hu X., Liu Y., Liu X., Shen M., Drake R.A., Wang W., Line bisection performance in right-handed primary headache sufferers, Neurol. India, 2007, 55, 333–337

    Article  PubMed  Google Scholar 

  19. Fingelkurts A.A., Fingelkurts A.A., Kivisaari R., Autti T., Borisov S., Puuskari V., et al., Reorganization of the composition of brain oscillations and their temporal characteristics in opioid dependent patients, Prog. Neuropsychopharmacol. Biol. Psychiatry, 2006, 30, 1453–1465

    Article  CAS  PubMed  Google Scholar 

  20. Orr C., Morioka R., Behan B., Datwani S., Doucet M., Ivanovic J., et al., Altered resting-state connectivity in adolescent cannabis users, Am. J. Drug Alcohol Abuse, 2013, 39, 372–381

    Article  PubMed  Google Scholar 

  21. Sun-Edelstein C., Bigal M.E., Rapoport A.M., Chronic migraine and medication overuse headache: clarifying the current International Headache Society classification criteria, Cephalalgia, 2009, 29, 445–452

    Article  CAS  PubMed  Google Scholar 

  22. International Headache Society, International Classification of Headache Disorders: 2nd edition, Cephalalgia, 2004, 24(Suppl. 1), 9–160

    Google Scholar 

  23. He W., Chai H., Zhang Y., Yu S., Chen W., Wang W., Line bisection performance in patients with generalized anxiety disorder and treatment-resistant depression, Int. J. Med. Sci., 2010, 7, 224–231

    Article  PubMed Central  PubMed  Google Scholar 

  24. Radat F., Sakh D., Lutz G., el Amrani M., Ferreri M., Bousser M.G., Psychiatric comorbidity is related to headache induced by chronic substance use in migraineurs, Headache, 1999, 39, 477–480

    Article  CAS  PubMed  Google Scholar 

  25. Radat F., Creac’h C., Swendsen J.D., Lafittau M., Irachabal S., Dousset V., Henry P., Psychiatric comorbidity in the evolution from migraine to medication overuse headache, Cephalalgia, 2005, 25, 519–522

    Article  CAS  PubMed  Google Scholar 

  26. Baskin S., Lipchik G., Smitherman T., Mood and anxiety disorders in chronic headache, Headache, 2006, 46(Suppl. 3), S76–87

    Article  PubMed  Google Scholar 

  27. Heckman B., Holroyd K., Tension-type headache and psychiatric comorbidity, Curr. Pain Headache Rep., 2006, 10, 439–447

    Article  PubMed  Google Scholar 

  28. Beghi E., Allais G., Cortelli P., D’Amico D., De Simone R., d’Onofrio F., et al., Headache and anxiety-depressive disorder comorbidity: the HADAS study, Neurol. Sci., 2007, 28(Suppl. 2), S217–219

    Article  PubMed  Google Scholar 

  29. Zung W.W.K., A rating instrument for anxiety disorders, Psychosomatics, 1971, 12, 371–379

    Article  CAS  PubMed  Google Scholar 

  30. Zung W.W.K., A self-rating depression scale, Arch. Gen. Psychiatry, 1965, 12, 63–70

    Article  CAS  PubMed  Google Scholar 

  31. Oldfield R.C., The assessment and analysis of handedness: The Edinburgh Inventory, Neuropsychologia, 1971, 9, 97–113

    Article  CAS  PubMed  Google Scholar 

  32. Hausmann M., Ergun G., Yazgan Y., Gunturkun O., Sex differences in line bisection as a function of hand, Neuropsychologia, 2002, 40, 235–240

    Article  PubMed  Google Scholar 

  33. Drake R.A., Ulrich G., Line bisecting as a predictor of personal optimism and desirability of risky behaviors, Acta Psychol., 1992, 79, 219–226

    Article  CAS  Google Scholar 

  34. Heilman K.M., Van Den Abell T., Right hemisphere dominance for attention: the mechanism underlying hemispheric asymmetries for inattention (neglect), Neurology, 1980, 30, 327–330

    Article  CAS  PubMed  Google Scholar 

  35. Weintraub S., Mesulam M.M., Right cerebral dominance in spatial attention. Further evidence based on ipsilateral neglect, Arch. Neurol., 1987, 44, 621–625

    Article  CAS  PubMed  Google Scholar 

  36. Fink G.R., Marshall J.C., Weiss P.H., Toni I., Zilles K., Task instructions influence the cognitive strategies involved in line bisection judgments: evidence from modulated neural mechanisms revealed by fMRI, Neuropsychologia, 2002, 40, 119–130

    Article  CAS  PubMed  Google Scholar 

  37. Ciçek M., Deouell L.Y., Knight R.T., Brain activity during landmark and line bisection tasks, Front. Hum. Neurosci., 2009, 3, 7

    Article  PubMed Central  PubMed  Google Scholar 

  38. Hassa T., Schoenfeld M.A., Dettmers C., Stoppel C.M., Weiller C., Lange R., Neural correlates of somatosensory processing in patients with neglect, Restor. Neurol. Neurosci., 2011, 29, 253–263

    PubMed  Google Scholar 

  39. Roux F.E., Dufor O., Lauwers-Cances V., Boukhatem L., Brauge D., Draper L., et al., Electrostimulation mapping of spatial neglect, Neurosurgery, 2011, 69, 1218–1231

    Article  PubMed  Google Scholar 

  40. Regard M., Knoch D., Gütling E., Landis T., Brain damage and addictive behavior: a neuropsychological and electroencephalogram investigation with pathologic gamblers, Cogn. Behav. Neurol., 2003, 16, 47–53

    Article  PubMed  Google Scholar 

  41. Herzig D.A., Tracy J., Munafò M., Mohr C., The influence of tobacco consumption on the relationship between schizotypy and hemispheric asymmetry, J. Behav. Ther. Exp. Psychiatry, 2010, 41, 397–408

    Article  PubMed  Google Scholar 

  42. Regard M., Landis T., “Gourmand syndrome”: eating passion associated with right anterior lesions, Neurology, 1997, 48, 1185–1190

    Article  CAS  PubMed  Google Scholar 

  43. Uher R., Treasure J., Brain lesions and eating disorders, J. Neurol. Neurosurg. Psychiatry, 2005, 76, 852–857

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  44. Cilia R., Siri C., Marotta G., Isaias I.U., De Gaspari D., Canesi M., et al., Functional abnormalities underlying pathological gambling in Parkinson disease, Arch. Neurol., 2008, 65, 1604–1611

    Article  PubMed  Google Scholar 

  45. Holden C., ‘Behavioral’ addictions: do they exist?, Science, 2001, 294, 980–982

    Article  CAS  PubMed  Google Scholar 

  46. Denys D., Zohar J., Westenberg H.G., The role of dopamine in obsessive-compulsive disorder: preclinical and clinical evidence, J. Clin. Psychiat., 2004, 65(Suppl. 14), 11–17

    CAS  Google Scholar 

  47. Cilia R., Siri C., Marotta G., Isaias I.U., De Gaspari D., Canesi M., et al., Functional abnormalities underlying pathological gambling in Parkinson disease, Arch. Neurol., 2008, 65, 1604–1611

    Article  PubMed  Google Scholar 

  48. Atasoy H.T., Atasoy N., Unal A.E., Emre U., Sumer M., Psychiatric comorbidity in medication overuse headache patients with preexisting headache type of episodic tension-type headache, Eur. J. Pain, 2005, 9, 285–291

    Article  PubMed  Google Scholar 

  49. Curone M., D’Amico D., Bussone G., Obsessive-compulsive aspects as predictors of poor response to treatments in patients with chronic migraine and medication overuse, Neurol. Sci., 2012, 33(Suppl. 1), S211–213

    Article  PubMed  Google Scholar 

  50. Cupini L.M., De Murtas M., Costa C., Mancini M., Eusebi P., Sarchielli P., et al., Obsessive-compulsive disorder and migraine with medicationoveruse headache, Headache, 2009, 49, 1005–1013

    Article  PubMed  Google Scholar 

  51. Curone M., D’Amico D., Bussone G., Obsessive-compulsive aspects as predictors of poor response to treatments in patients with chronic migraine and medication overuse, Neurol. Sci., 2012, 33(Suppl. 1), S211–213

    Article  PubMed  Google Scholar 

  52. Karnath H.O., Rorden C., The anatomy of spatial neglect, Neuropsychologia, 2012, 50, 1010–1017

    Article  PubMed Central  PubMed  Google Scholar 

  53. Greene C.M., Robertson I.H., Gill M., Bellgrove M.A., Dopaminergic genotype influences spatial bias in healthy adults, Neuropsychologia, 2010, 48, 2458–2464

    Article  PubMed  Google Scholar 

  54. Newman D.P., O’Connell R.G., Nathan P.J., Bellgrove M.A., Dopamine transporter genotype predicts attentional asymmetry in healthy adults, Neuropsychologia, 2012, 50, 2823–2829

    Article  PubMed  Google Scholar 

  55. Hyman S.E., Malenka R.C., Nestler E.J., Neural mechanisms of addiction: the role of reward-related learning and memory, Annu. Rev. Neurosci., 2006, 29, 565–598

    Article  CAS  PubMed  Google Scholar 

  56. Tomasi D., Volkow N.D., Wang R., Telang F., Wang G.J., Chang L., et al., Dopamine transporters in striatum correlate with deactivation in the default mode network during visuospatial attention, PLoS One, 2009, 4, e6102

    Article  PubMed Central  PubMed  Google Scholar 

  57. Ferraro S., Grazzi L., Muffatti R., Nava S., Ghielmetti F., Bertolino N., et al., In medication-overuse headache, fMRI shows long-lasting dysfunction in midbrain areas, Headache, 2012, 52, 1520–1534

    Google Scholar 

  58. Lüscher C., Malenka R.C., Drug-evoked synaptic plasticity in addiction: from molecular changes to circuit remodeling, Neuron, 2011, 69, 650–663

    Article  PubMed Central  PubMed  Google Scholar 

  59. Montagna P., Cevoli S., Marzocchi N., Pierangeli G., Pini L.A., Cortelli P., Mochi M., The genetics of chronic headaches, Neurol. Sci., 2003, 24(Suppl. 2), S51–56

    PubMed  Google Scholar 

  60. Onaya T., Ishii M., Katoh H., Shimizu S., Kasai H., Kawamura M., et al., Predictive index for the onset of medication overuse headache in migraine patients, Neurol. Sci., 2013, 34, 85–92

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Wei Wang.

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Zhang, J., Gao, Q., Fan, H. et al. Line bisection in medication-overuse and chronic tension-type headaches. Translat.Neurosci. 5, 117–122 (2014). https://doi.org/10.2478/s13380-014-0216-8

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  • DOI: https://doi.org/10.2478/s13380-014-0216-8

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