Case 378 · ICHD-3 6.5.3
6.5.3 Headache attributed to carotid or vertebral angioplasty or stenting
- 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
Clinical History: A 60-year-old male patient, with a history of hypertension and diabetes, presented with symptomatic 90% stenosis of the left internal carotid artery and underwent carotid stenting under local anesthesia. Six hours post-procedure, he developed a left frontotemporal headache, pulsatile in nature, with moderate intensity (VAS 6/10), without nausea or vomiting. The pain worsened with postural changes and persisted for 72 hours, with progressive improvement.
Complementary Examinations: Post-procedure transcranial Doppler: Adequate flow in the treated artery, with no signs of hyperperfusion or embolism.
Cranial MR angiography: No evidence of bleeding, ischemia, or meningeal changes.
Report this case — e.g. suspected re-identification risk.