Case 546 · ICHD-3 8.1.9

8.1.9 Headache attributed to occasional use of non-headache medication

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 45-year-old woman, with no history of chronic headaches, reports episodes of holocranial headache with intense pressure, lasting 8 to 12 hours, which started 4 months ago. She reports that the pain always arises 3 to 5 hours after taking prednisone (20mg) prescribed occasionally for exacerbations of allergic sinusitis (average use of once every 6 weeks). The headache improves spontaneously and does not respond to common analgesics. Physical examination and neuroimaging (cranial CT) show no abnormalities.

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