Case 458 · ICHD-3 7.2.1
7.2.1 Post-dural puncture 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
Identification: Sex/Age: Female, 28 years History: Healthy, no history of chronic headaches Recent Procedure: Spinal anesthesia for cesarean section 48 hours prior History of Present Illness (HPI): Main symptom: Severe headache started 24 hours after lumbar puncture Pain characteristics: Location: Frontal and occipital Character: Throbbing Intensity: 8/10 Positional: Marked worsening in sitting/standing position (5/10 → 9/10) and significant improvement when lying down Duration: Continuous since onset Associated symptoms: Nausea, dizziness, and mild neck stiffness Physical/Neurological Examination: General: Conscious, oriented Neurological: No motor or sensory deficits Normal reflexes Mild neck stiffness Negative Brudzinski sign
Report this case — e.g. suspected re-identification risk.