Case 188 · ICHD-3 2.2.1
2.2.1 Frequent episodic tension-type headache associated with pericranial tenderness
- 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
The patient reports headache episodes with an average frequency of 10 to 15 days per month, lasting 4 to 12 hours. She describes the pain as bilateral, 'band-like' or 'pressure', with mild to moderate intensity (visual analog scale of 5/10), non-pulsatile, not worsened by routine physical activities, and without nausea or vomiting. She mentions mild photophobia during episodes, but no phonophobia. Associated with the headache, the patient complains of pericranial tenderness on palpation, bilaterally. She reports that work-related stress and poor posture while grading exams seem to exacerbate the symptoms. There is no history of recent head trauma or associated infections.
Report this case — e.g. suspected re-identification risk.