Case 232 · ICHD-3 4.1

4.1 Primary cough 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 63-year-old female presents with episodes of abrupt, pulsatile occipital pain triggered by strong coughing or sneezing. The pain lasts for seconds and occurs without aura or associated symptoms. Neurological examination is normal. Brain MRI and MR angiography show no abnormalities.

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