Case 530 · ICHD-3 8.1.5
8.1.5 Cocaine-induced 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: A 28-year-old male patient reports a history of intense and sudden headache following recreational intranasal cocaine use approximately 1 hour ago.
Headache History:
Characteristic: Bilateral, pulsatile pain with moderate to severe intensity (7/10 on the visual analog scale).
Trigger: Recent cocaine use (single dose, unspecified quantity).
Duration: Onset within 1 hour after substance administration, persisting for 4 hours at the time of evaluation.
Associated Symptoms: Mild nausea, without vomiting, photophobia, or phonophobia. Denies visual aura or neurological deficits.
Personal History: Occasional cocaine use (1–2 times/month for 2 years), without previous headache reports or substance use disorder diagnosis. Negative for other comorbidities.
Physical/Neurological Examination: No significant alterations. Blood pressure: 130/85 mmHg.
Report this case — e.g. suspected re-identification risk.