Case 558 · ICHD-3 8.2.3.2.1

8.2.3.2.1 Acetylsalicylic acid-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 tension-type headache for 10 years.

History of Present Illness:

The patient reports an increase in headache frequency over the past 3 months, occurring on 15 or more days per month.

She uses acetylsalicylic acid (ASA) in therapeutic doses (500–1000 mg/day) for 15 or more days per month for more than 3 months for headache relief.

She describes a progressive worsening of the pain, which has become diffuse, with bilateral pressure, of moderate intensity, and is aggravated by physical exertion.

Physical/Neurological Examination: Unremarkable.

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