Case 556 · ICHD-3 8.2.3.2

8.2.3.2 Non-steroidal anti-inflammatory drug (NSAID)- 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, 45 years old, with a history of episodic migraine without aura for 10 years.

Current history: Reports progressive worsening of headache over the past 3 months, with pain present on ≥15 days/month. Reports daily use of ibuprofen (600 mg/day) for more than 3 months for pain control, without sustained improvement. The headache has become diffuse, with bilateral pressure, of moderate intensity.

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