In psychiatry, routine EEGs are often abnormal and not very specific, raising questions about the clinical relevance and consequences of potential anomalies. One such question is whether the administration of anticonvulsants would be useful if epileptic discharges are detected in patients without any clinical correlates. With regard to this question, we present a case study in which abnormal EEG patterns were observed in a patient with chronic migraine and cannabis addiction. The patient was a 34-year-old woman with a 14-year history of cannabis abuse who, during withdrawal, showed epileptic spikes, without any corresponding clinical symptoms, and migraine attacks of increasing intensity and frequency. This case study is in line with the new DSM-5 diagnostic tool that for the first time includes the diagnosis of cannabis withdrawal.

中文翻译：

---

大麻戒断过程中脑电图和偏头痛发作的癫痫峰值：病例报告

在精神病学中，常规脑电图通常是异常的并且不是很具体，这引发了关于潜在异常的临床相关性和后果的问题。一个这样的问题是，如果在没有任何临床相关性的患者中检测到癫痫放电，抗惊厥药的给药是否有用。关于这个问题，我们提出了一个案例研究，其中在患有慢性偏头痛和大麻成瘾的患者中观察到异常的 EEG 模式。患者是一名 34 岁的女性，有 14 年的大麻滥用史，在戒断期间表现出癫痫峰值，没有任何相应的临床症状，并且偏头痛发作的强度和频率不断增加。该案例研究符合新的 DSM-5 诊断工具，该工具首次包括对大麻戒断的诊断。