Case 380 · 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
History: A 68-year-old male patient with a history of significant carotid atherosclerosis (80% stenosis in the right internal carotid artery) underwent angioplasty with carotid stent placement under local anesthesia. 24 hours after the procedure, he developed an ipsilateral (right-sided) frontal headache, pulsatile in nature, with moderate to severe intensity, without nausea, vomiting, photophobia, or phonophobia. The headache persisted for 48 hours, resolving spontaneously.
Complementary Examinations:
Post-procedure Doppler ultrasound: Confirms patency of the stent, with no signs of dissection or thrombosis.
Brain MRI: Absence of hemorrhage, ischemia, or meningeal changes.
Report this case — e.g. suspected re-identification risk.