Case 548 · 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 32-year-old male patient reports recurrent episodes of bifrontal throbbing headache, moderate to severe in intensity, lasting 4 to 6 hours, occurring over the past 3 months. He associates the onset of symptoms with the use of dipyrone (1g) for relief of low back pain following intense physical activity. The headache occurs within 1 hour after taking the medication and happens every time he uses dipyrone (approximately twice a month). He denies any previous history of primary headaches. Neurological examinations and brain imaging (MRI) are normal.

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