Case 500 · ICHD-3 7.6.2
7.6.2 Post-ictal 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: Male, 28 years History: Idiopathic generalized epilepsy diagnosed at age 16 Medication: Irregular use of valproic acid Family history: Brother with epilepsy History of Present Illness (HPI): Initial event: Generalized tonic-clonic seizures (2 episodes in 24 hours) Headache: Onset: Immediately after resolution of the second seizure Characteristics: Location: Bifrontal Type: Throbbing Intensity: 7/10 Duration: 8 hours Associated symptoms: Nausea, photophobia, and drowsiness Spontaneous improvement: After rest Physical/Neurological Examination: General: Postictal lethargy Neurological: No focal deficits No meningeal signs Preserved language Other findings: Lateral tongue bite Complementary Exams: EEG: Generalized epileptiform activity Cranial MRI: No acute changes Laboratory: Sub-therapeutic levels of valproic acid
Report this case — e.g. suspected re-identification risk.