Case 120 · ICHD-3 12.2
12.2 Headache attributed to psychotic disorder
- Origin
- Synthetic
- Language
- English — also available in German
- Contributed by
- Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)
Anamnesis
Identification: 34-year-old male patient with a prior diagnosis of paranoid schizophrenia, hospitalized due to a psychotic exacerbation. History of Present Illness: Chief Complaint: "Electric pain" at the vertex for 2 months Intensity 10/10, continuous Attributed to "government implants" Psychopathological Context: Delusion of control ("brain waves are torturing me") Auditory hallucinations commanding self-mutilation Denial of any psychiatric condition Associated Symptoms: Persistent insomnia Cephalic self-mutilation (scalp excoriations) Food refusal due to "contamination" Psychiatric Examination (AMDP): Thought: Bizarre somatic delusions Severe logical dissociation Perception: Cenesthetic hallucinations ("wires cutting my brain") Affect: Affective blunting Emotional incongruence Complementary Examinations: Cranial MRI: Normal EEG: No epileptiform activity Toxicological Evaluation: Negative Psychometric Scales: PANSS: 102 (severe) Somatic Delusion Scale: 8/10
Report this case — e.g. suspected re-identification risk.