Case 206 · ICHD-3 3.1.1

3.1.1 Episodic cluster headache

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

A 34-year-old male reports episodes of intense, unilateral, left retro-orbital pain with a penetrating quality, lasting 45 minutes. The attacks occur at night, approximately 1 to 2 times per day, during periods of 6 to 8 weeks, followed by months without symptoms. During the pain, there is nasal congestion, tearing, and restlessness. Brain MRI shows no abnormalities; MR angiography is normal.

Report this case — e.g. suspected re-identification risk.