Case 514 · ICHD-3 8.1.11

8.1.11 Headache attributed to use of or exposure to other substance

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

History: A 40-year-old female patient, a farmer, presents with a diffuse, pressing headache of moderate to severe intensity, associated with dizziness, sialorrhea, and excessive sweating. The symptoms began approximately 2 hours after applying organophosphate insecticide (without using personal protective equipment) on a plantation. Physical examination reveals muscle fasciculations and bradycardia. The headache and systemic symptoms improve after administration of atropine and gastric lavage in the emergency department.

Report this case — e.g. suspected re-identification risk.