Case 314 · ICHD-3 6.1.2
6.1.2 Headache attributed to transient ischaemic attack (TIA)
- 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: Female patient, 68 years old, hypertensive, type 2 diabetic, with atrial fibrillation on irregular use of anticoagulant therapy.
History of Present Illness:
Reports a sudden episode of unilateral left-sided pulsatile headache (intensity 7/10) lasting 25 minutes.
Associated with:
Paresthesia in the right hemibody (arm > leg)
Transient dysarthria
Amaurosis fugax of the left eye
Complete resolution of all symptoms in 50 minutes
No prior history of similar headaches
Neurological Examination (after resolution):
Normal (NIHSS = 0)
No residual focal deficits
Blood pressure: 162/94 mmHg
Irregular heart rate (AF confirmed on ECG)
Complementary Exams:
Urgent cranial CT: No acute changes
Brain MRI/DWI: No diffusion restriction
Carotid Doppler: Irregular atherosclerotic plaque at left carotid bifurcation (40% stenosis)
Transesophageal echocardiogram: Thrombus in the left atrium (2.1 cm)
Report this case — e.g. suspected re-identification risk.