Case 434 · ICHD-3 6.8.6
6.8.6 Headache attributed to other chronic intracranial vasculopathy
- 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: Sex/Age: Female, 58 years Medical History: Systemic arterial hypertension for 15 years (irregularly controlled), type 2 diabetes mellitus, dyslipidemia Medications: Losartan 50mg/day, metformin 850mg 2x/day, simvastatin 20mg/day Family History: Father with ischemic stroke at 65 years History of Present Illness (HPI): Main symptom: Chronic headache for 4 months Pain Characteristics: Location: Bifrontal Character: Constant pressure Intensity: 5-6/10 Course: Progressive, daily, without remission periods Associated symptoms: Occasional dizziness, bilateral tinnitus Risk factors: Poorly controlled hypertension (last BP 160/95mmHg), smoking (20 pack-years) Physical/Neurological Examination: General: Normotensive at the time of examination (130/85mmHg) Neurological: No motor or sensory deficits Normal and symmetrical reflexes Fundoscopy: Straightened arterioles with pathological crossings No meningeal signs Complementary Exams: Brain MRI: Moderate periventricular leukoaraiosis, chronic microangiopathy Brain MRA: Diffuse narrowing of small intracranial vessels Laboratory: Glycated hemoglobin 7.8%, LDL 130mg/dL
Report this case — e.g. suspected re-identification risk.