Case 212 · ICHD-3 3.2
3.2 Paroxysmal hemicrania
- 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: A 32-year-old female patient, a teacher, presents to the consultation with complaints of intense unilateral headache for 6 months.
History of Present Illness: The patient reports episodes of intense, stabbing pain, always on the right side of the head, in the temporal and orbital regions. The pain lasts on average 10-15 minutes but can occur up to 15 times a day. Associated with the pain, she experiences tearing, nasal congestion, and ipsilateral eyelid ptosis. She states that the episodes are triggered by stress and sudden head movements. She denies any previous history of similar headache or family history.
Physical and Neurological Examination:
General physical examination: unremarkable.
Neurological examination: normal, without motor, sensory, or cognitive deficits.
Fundoscopy: no papilledema or other abnormalities.
Report this case — e.g. suspected re-identification risk.