Case 496 · ICHD-3 7.5
7.5 Headache attributed to intrathecal injection
- 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: 32 weeks pregnant, no previous comorbidities. History of Present Illness (HPI): Previous procedure: Spinal anesthesia (intrathecal injection) for cesarean section performed 48 hours ago. Main symptom: Severe headache started 24 hours after the procedure. Characteristics of the pain: Location: Frontal and occipital. Character: Pulsatile. Intensity: 8/10. Positionality: Markedly worsens in sitting/standing position and significantly improves when lying down. Associated symptoms: Nausea, mild neck stiffness, and photophobia. Physical/Neurological Examination: General: Consciousness preserved, no signs of systemic infection. Neurological: No motor or sensory deficits. Mild neck stiffness (no overt meningeal signs). Pupils are isocoric and reactive to light.
Report this case — e.g. suspected re-identification risk.