Case 376 · ICHD-3 6.5.2
6.5.2 Post-endarterectomy 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
History: A 68-year-old male patient underwent left carotid endarterectomy 48 hours ago due to severe symptomatic stenosis. He reports the onset of ipsilateral headache (left hemicranium) 24 hours after the procedure, with throbbing characteristics, moderate to severe intensity (7/10 on the visual analog scale), without nausea, vomiting, or aura. The pain worsens with neck movement and does not fully respond to common analgesics (paracetamol).
Physical/Neurological Examination: No motor or sensory deficits, pupils are isocoric, and no meningeal signs are present. Carotid pulses are present bilaterally, and there are no cervical bruits.
Investigation: Computed tomography angiography (CT angiography) of the head ruled out post-surgical complications (e.g., hemorrhage, thrombosis, or cerebral hyperperfusion). Blood pressure is controlled (130/80 mmHg).
Report this case — e.g. suspected re-identification risk.