6.7.2 Angiography headache

Identification: Sex/Age: Male, 58 years Medical History: Hypertension, dyslipidemia Procedure Indication: Investigation of cerebral aneurysm following subarachnoid hemorrhage History of Present Illness (HPI): Context: Patient underwent cerebral angiography via femoral catheterization Temporal Information: Onset: 24 hours after the procedure Duration: 48 hours Headache Characteristics: Location: Bifrontal Type: Constant pressure Intensity: 6/10 Aggravating factors: Orthostasis Relieving factors: Supine position Associated Symptoms: Nausea Mild photophobia Absence of focal neurological deficits Physical/Neurological Examination: General: Overall condition preserved Neurological: No meningeal signs No papilledema Normal motor/sensory examination Complementary Exams: CT scan of the head: No hematoma or other complications Lumbar puncture (performed to rule out SAH): Normal CSF