Case 234 · 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 57-year-old male reports sudden and intense pain in the bilateral occipital region, exclusively triggered by coughing episodes. The pain lasts less than one minute and is not associated with autonomic symptoms. No neurological signs are present. Brain MRI with MR angiography is normal.

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