Case 252 · ICHD-3 4.4

4.4 Primary thunderclap 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 41-year-old female presents with a headache of abrupt onset, reaching maximum intensity in less than 1 minute, described as 'the worst headache of her life'. The pain is diffuse, with no aura or other neurological symptoms. MRI, MR angiography, and lumbar puncture reveal no abnormalities.

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