Case 552 · ICHD-3 8.2.2

8.2.2 Triptan-overuse 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: Female patient, 38 years old, with a history of episodic migraine without aura since the age of 20. Current Headache History: Reports progressive worsening of headache over the past 3 months, with pain present on ≥15 days/month. Regular use of triptan (sumatriptan) orally on average 10-15 days/month for more than 3 months. The headache is bifrontal, pulsatile, of moderate intensity, worsening with physical activity. Reports partial relief with medication, but the pain returns after a few hours, requiring additional doses.

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